Minimally Invasive Procedure for Hemorrhoid


MIPH, also known as stapled hemorrhoidectomy, is the newest surgical technique which is used to treat hemorrhoids. Stapled hemorrhoidectomy is actually a misnomer because this procedure does not remove the hemorrhoids and it is just an expanded hemorrhoidal supporting tissue which has allows the hemorrhoids to prolapse towards downward. Although it can be used to treat second-degree hemorrhoids, it is usually the choice to treat third and fourth-degree hemorrhoids.

What are hemorrohoids?

Hemorrhoids, also known as piles, are the swollen veins in the anal canal which may or may not be painful. If there is swelling of veins inside the anal canal, then it is known to form internal hemorrhoids and if the swelling is near the anal opening, then it is known to form external hemorrhoids. Usually, one can have both these types of Hemorrhoids- internal as well as external hemorrhoids at the same time.

What are the common symptoms of hemorrhoids?

In some people, hemorrhoids are pain-free while in some people, these are painless. Rectal pain is the most common symptom. Other than this, a person with this health problem can have the following symptoms.

  • Bleeding during bowel movements.
  • Continuous itching
  • Blood spot on toilet paper after having a bowel movement

What are the Causes of hemorrhoids?

Some of the common causes of Hemorrhoids are-

  • Constipation is the major cause of piles.
  • Doing the sitting job for long periods of time.
  • Any infection in the anus.
  • Straining during bowel movements.
  • Certain other diseases, such as liver diseases can also cause hemorrhoids.

Different Grades of hemorrhoids

There are 4 different grades of hemorrhoids. Depending on these, a treatment is given to the patient.

  • Grade 1 hemorrhoids are those hemorrhoids that are caused by swelling of veins inside the anal canal (internal hemorrhoids) and do not protrude or prolapse out of the anus.
  • Grade 2 hemorrhoids are also the internal hemorrhoids that are present inside the anal canal but they prolapse and then go back inside the anus simultaneously without causing any interference.
  • Grade 3 hemorrhoids are those internal hemorrhoids which prolapse but unlike grade 2 hemorrhoids, they do not go back inside the anus on its own. The patient has to push them back to go inside the anus.
  • Grade 4 hemorrhoids are those internal hemorrhoids that prolapsed and will not go back inside the anus even after pushing them.

Advantages of MIPH (Minimally invasive procedure for hemorrhoids)

Stapled Haemorrhoidectomy or MIPH offers several advantages to patients that are listed here-

  • You can go back to work early.
  • Minimal pain.
  • There will be no cuts.
  • You can get discharge from Hospital within a short period of time.

Complications of MIPH

Although this procedure has several advantages as well, but they do have some complications too. It is known to cause some serious health problems such as rectal perforation, retroperitoneal sepsis, strictures and obstruction, recto-vaginal fistula and retro pneumo-peritoneum.