Procedure for prolapsed and hemorrhoids (PPH)

Stapled hemorrhoidopexy / Procedure for prolapsed and hemorrhoids (PPH) 


 Based on the concept that interruption of the superior and middle hemorrhoidal vessels, and the upward lifting of the prolapsed anorectal mucosa and repositioning of the vascular cushions back into the anal canal cause the hemorrhoidal tissue to atrophy
 For Grade 3 and 4 hemorrhoids
 No incisions are made in the somatically innervated, highly sensitive anoderm  


significantly less postoperative pain
 Side effect: Rectal perforation, sphincter dysfunction and sepsis
 Advantages
1) Simple and quick procedure
2) Less postoperative pain, shorter hospital stay and earlier return to normal activity
3) Similar complication rate as conventional procedure

	Staple hemorrhoidopexy	Traditional hemorrhoidectomy
Operative time	Quick, around 30 minutes	40-60 minutes
Postoperative pain	Much less	Painful wound, subsided days to weeks later
Recovery time	Fast, can resume normal activity on next day, avoid strenuous exercise	Slow, requires days to week to resume normal duty
Wound care	No need if not infected	Daily wound dressing, for one to two weeks

Reference: psclinic.com.hk

The information aims to provide educational purpose only. Anyone reading it should consult

Surgery Specialist before considering treatment and should not rely on the information

above.