Using a haemorrhoidal circular stapler device, the MIPHprocedure essentially "lifts up," or repositions the mucosa, or anal canal tissue, and reduces blood flow to the internal hemorrhoids. These internal hemorrhoids then typically shrink within four to six weeks after the procedure. The PPH procedure results in less pain than traditional hemorrhoidectomy procedures because it is performed above the "pain" line, or dentate line inside the anal canal. The advantage is that this hemorrhoid treatment method affects few nerve endings, while traditional hemorrhoidectomy procedures are performed below the dentate line, affecting many sensitive nerve endings.
MIPH is indicated for patients with:
> Second degree hemorrhoids after failure of conservative treatment
>Third and fourth degree hemorrhoids
>Rectal mucosal prolapse
As with any surgical procedure, there are risks that accompany MIPH:
If too much muscle tissue is drawn into the device, it can result in damage to the rectal wall resulting in inflammation or infection.
The internal muscles of the sphincter may be damaged, resulting in short-term or long-term dysfunction, such as severe pain or incontinence.
However in expert hands these complications are less.
What is a hemorrhoid?
Each of us has veins, or hemorrhoids, within the anus that tend to stretch under pressure, somewhat like varicose veins in the legs. It is believed these veins exist to protect and cushion the anal canal. When these veins swell and descend into the anal canal, they are considered “prolapsed.” One set of veins is inside the rectum (internal hemorrhoids) and another is under the skin around the anus (external hemorrhoids).
Why does hemorrhoidal tissue prolapse?
A number of factors contribute to hemorrhoidal issues — constipation with prolonged straining and pregnancy are two of the most common causes. With aging, the muscles and other anatomic structures that support the tissue weaken and help contribute to the prolapse of the hemorrhoid.
What are the types of hemorrhoids?
There are two types — internal and external.
Internal hemorrhoids usually are not painful, but may bleed. Sometimes, an internal hemorrhoid may stretch until it bulges outside the anus. This is called a prolapsed hemorrhoid. A prolapsed hemorrhoid can go back inside the rectum on its own over time, or it can be gently pushed back inside. If the prolapsed hemorrhoid cannot be pushed back inside, consultation with a surgeon about surgical treatment options is necessary.
External hemorrhoids involve the veins around the anus. They can be itchy or painful and can sometimes crack and bleed. If a blood clot forms, one may feel a tender lump on the edge of the anus, and see bright red blood on toilet paper or in the toilet after a bowel movement.
What are the symptoms of hemorrhoids?
Symptoms of hemorrhoids, both external and internal, include:
Aching after a bowel movement
Anal or rectal itching
Bright red blood on toilet tissue or in toilet bowl
Appearance of anal tissue pads or sensitive lumps
Consult your surgeon if you experience any of these hemorrhoid symptoms
Who gets hemorrhoids?
Hemorrhoids are one of the most common ailments for men and women alike — affecting more than half the population at some point in their lives. Onset commonly occurs after the age of 30, but hemorrhoids are reported in people of all ages.