Haemorrhoids(Piles)...
Q What is done in MIPH-Minimally
Invasive Procedure for Haemorrhoids or Stapler technique?
MIPH is a technique developed in the early 90's that
reduces the prolapse of hemorrhoidal tissue by excising a band of the prolapsed
anal mucosa membrane with the use of a circular stapling device In this
technique, the pile mass is not directly operated or dissected. Instead the
operation is done in the upper anal canal which is insensitive to pain. A
disposable Stapler device is used which cuts the lining of the anal canal and
sutures it back instantaneously. In the process, the blood supply to the pile
mass is obliterated and this results in shriveling and hence disappearance of
piles. Moreover the excess tissue is
removed which corrects the mucosal prolapse and restores the hemorrhoidal
tissue back to its original anatomical position.
Since this operation doesn’t create any wound, the patient
needs no post operative dressings and
hot water baths( Sitz bath). As the
lower sensitive anal canal is not cut during this procedure, the patient is absolutely pain free right
after the operation and therefore can resume work the very next day . Moreover the time taken for
operation( 15-20 minutes) and the blood
loss in Stapler technique is comparatively much less.
To summarise the main benefits of stapler technique over
the conventional surgery:
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|
Conventional(Open) Surgery
|
Stapler Technique
|
|
1.Post operative pain
|
Lot of pain for 5-6 days
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Minimal or no pain
|
|
2.Hospital stay (average)
|
5-6 days
|
1 day
|
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3. Days to go back to work
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12-15 days
|
1-2 days
|
|
4. Post operative dressings and hot water baths(Sitz
baths)
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For 30-45 days
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Not needed
|
|
5. Operating time
(average)
|
30-60 minutes
|
15-25 minutes
|
 |
 |
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Before Treatment |
After treatment with Stapler |
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