Stapled Haemorrhoidopexy (PPH)
Procedure for prolapse and haemorrhoids — stapled repositioning of prolapsed haemorrhoids above the dentate line.
What is Stapled Haemorrhoidopexy (PPH)?
Stapled Haemorrhoidopexy (PPH — Procedure for Prolapse and Haemorrhoids) uses a circular stapling device to excise a ring of prolapsed rectal mucosa above the haemorrhoidal cushions, repositioning prolapsed haemorrhoids and interrupting their blood supply. Operating above the dentate line causes significantly less pain.
Dr. Tagore Mohan Grandhi performs PPH as a day surgery procedure. Same-day discharge with return to normal activities within 3–5 days. PPH is preferred for Grade III–IV prolapsing haemorrhoids.
Suitable for patients with Grade III–IV prolapsing internal haemorrhoids, particularly those preferring minimally painful surgery with faster recovery than conventional haemorrhoidectomy.
How the Procedure Works
Anaesthesia
General or spinal anaesthesia. Circular anal dilator inserted and secured.
Purse-String Suture
2/0 polypropylene suture placed in rectal mucosa 3–4 cm above dentate line using purse-string anoscope.
Stapler Firing
Circular stapler introduced above purse-string and fired — excising ring of prolapsed mucosa and creating anastomosis.
Haemostasis
Staple line inspected. Additional sutures added if any bleeding points are identified.
Discharge
Same-day or 23-hour discharge. Pain score assessed. High-fibre diet and stool softeners commenced.
Outcomes
Who Needs This Treatment?
- →Above-dentate line operation — significantly less post-operative pain
- →Same-day discharge or 23-hour admission
- →Effective for Grade III–IV prolapsing haemorrhoids
- →Return to normal activities in 3–5 days versus 1–2 weeks open surgery
Stapled haemorrhoidopexy gives patients with Grade III–IV haemorrhoids a definitive surgical result with a fraction of conventional surgery pain. Same-day discharge and back to routine in days, not weeks.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Stapled Hemorrhoidopexy (PPH / MIPH) Cost in Hyderabad
The cost of Stapled Hemorrhoidopexy (PPH / MIPH) in Hyderabad depends on factors such as the grade and distribution of piles, procedure requirements, hospital stay, and post-operative care.
For patients with Grade III circumferential haemorrhoids, the approximate cost of Stapled Hemorrhoidopexy ranges between ₹60,000 and ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Stapled Hemorrhoidopexy (PPH / MIPH) | ₹60,000 – ₹1,20,000 |
The final cost may vary depending on your individual condition, surgical findings, hospital care, and recovery requirements.
Factors That Influence Stapled Hemorrhoidopexy Cost
The overall cost may depend on:
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Grade and pattern of piles: Circumferential prolapse and severity of haemorrhoids can influence treatment planning.
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Pre-operative evaluation: Clinical assessment, investigations, and medical fitness evaluation may contribute to the overall cost.
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Surgical requirements: The stapling device, anaesthesia, hospital stay, and post-operative monitoring can affect the final estimate.
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Recovery and follow-up: Medications, dietary guidance, and follow-up consultations may influence overall treatment expenses.
Is Stapled Hemorrhoidopexy Covered by Insurance?
Stapled Hemorrhoidopexy may be covered by insurance when medically indicated. Coverage depends on your policy terms, insurer approval, and documentation requirements.
Our insurance support team can assist you with checking coverage eligibility, required documents, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will evaluate your symptoms, examination findings, and grade of piles to determine the most suitable treatment option. She will explain the procedure, expected outcomes, recovery process, and provide an estimated cost based on your individual condition and treatment needs.
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