How Does The MIPH Surgery Work For Piles Treatment

Experiencing discomfort during defecation with painful bowel movements is an indication of haemorrhoids. Commonly referred to as piles, it pertains to swelling in the enlarged blood vessels around the rectum and anus. There are two variations to it. When there is pressure build-up in the lower part of your rectum, the blood flow gets affected. As a result, the veins swell up, which causes haemorrhoids.

The exact reason for the same is not known. However, obesity, pregnancy, chronic cough, heavy weight lifting, prolonged standing, etc., increase the pressure in veins.  It ultimately gives rise to swellings in the bottom area. The most sort-after treatment for the same is called Minimally Invasive Procedure for Haemorrhoids (MIPH). It is an alternative approach to surgical interventions. Let us understand how it works in detail.


The treatment involves excising the circular section of the anal lining above the affected area. The circular portion is a band of excessive or loose prolapsed mucosa and submucosa within the rectum. A stapling gun gets used to cut off the section just above the hemorrhoidal tissue. The result of which is the retraction of prolapsed mucosa up the anal canal. It reduces blood supply to the enlarged blood vessel, which leads to shrinkage and cures the condition.


Your doctor advises MIPH as the pile’s treatment when you have grade III haemorrhoids or uncomplicated grade IV haemorrhoids. It is because these stages allow for reduction or manipulation with the minimally invasive procedure. It is also an alternative method when other extractive modalities fail. The surgical option is suitable for internal haemorrhoids that protrude or bleed. However, other techniques get preferred for bulky external haemorrhoids and complicated conditions.


The painless stapler surgery is significantly less painful compared to other intrusive operations. It offers benefits in terms of faster recovery, long-term symptom control, and reduced hospital stay. Also, some minor procedures get performed in the office without hospitalisation. It allows you to resume regular activities from the following day. For operational practices, the expected recovery time is within one week with discharge in 24 hours.


Every surgery, irrespective of its scale, carries certain complications. So does the MIPH treatment. Standard after-effects include narrowing the anal canal, bleeding in severe cases, septic complications, anal fistula, haemorrhage, anal stenosis, etc. These are avoidable with proper planning and care. It involves seeking medical advice from an experienced colorectal surgeon. Specific tests analysing your kidney function, complete blood count, liver function, blood sugar, etc., get performed for the same.

Postoperative care

The treatment is minimally invasive, risks of bleeding or infection are minimal. Hence, there is a low degree of postoperative ache. You are allowed to resume regular activities from the next day itself. The first bowel movement post-surgery happens smoothly without causing pain. On the whole, you have no reason to worry.

However, it is advisable to take sitz baths for one or two days, eat high fibre food for soft stools. Besides, make sure to consult your doctor immediately in case of any complications.

Nicki Jenns

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