MIPH ( Minimally Invasive Procedure for Haemorrhoids ) - PowerPoint PPT Presentation
Title:
MIPH ( Minimally Invasive Procedure for Haemorrhoids )
Description:
It is a procedure that was originally conceived in 1994 by Dr Antonio Longo, and has since gained popularity as the treatment of choice for Grade 3 and Grade 4 prolapsed Piles. The procedure is usually done under short general anaesthesia and takes around 25-30 minutes. Using the circular stapler, the mucosa which is responsible for the the prolapse of Haemorrhoids is circumferentially excised and the prolapsed Haemorrhoids are pulled up back to their normal position. – PowerPoint PPT presentation
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Title: MIPH ( Minimally Invasive Procedure for Haemorrhoids )
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MIPH ( Minimally Invasive Procedure for
Haemorrhoids)
www.healinghandsclinic.co.in
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MIPH procedure
In 1995, Longo described a new and innovative
operative technique for hemorrhoid. This novel
procedure to treat piles is not a
hemorrhoidectomy. In this technique neither the
anal mucosa and nor the hemorrhoidal tissue is
excised. The procedure of MIPH is performed in
the patient with piles on distal rectal mucosa
and submucosa, proximally to the dentate line.
MIPH hemorrhoidectomy includes excision of a band
of excessive or loose prolapse mucosa and
submucosa within the rectum, proximally to the
hemorrhoidal tissue and fixation of the mucosa by
stapled end to end mucosa anastomosis. This
minimally invasive maneuver occlude the blood
supply of the superior hemorrhoidal artery above
the hemorrhoidal tissue and thus piles is cured
as well as prolapsed mucosa is retracted up.
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Advantages
- The Stapler procedure has definite advantages
over other treatments available for Piles. - No external cuts or stitches
- Minimal blood loss
- Minimal pain can be easily managed by painkillers
- Sphincter function is not hampered hence
voluntary control over motion is preserved - Faster recovery - Patient can resume work from
5th day - Lowest recurrence rate ( 8 ) - This is further
brought down to lt1 by Mucopexy technique
introduced by Dr Porwal at HHC - Safe in diabetics, heart patients and senior
citizens
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Drawbacks
- Inflammation or Infection it Can be prevented
with anti-inflammatory agents and antibiotics. - Urgency ( i.e. need to rush to the toilet )- May
last for 4-8 weeks. This can be kept under
control with Kegels exercises - Bleeding following the procedure ( 6-8 )
- Staple line stricture ( 5 ) - In experienced
hands it can be prevented with proper positioning
of staple line - Recurrence ( 8 ) - With the addition of
Mucopexy, this can be brought down to lt1
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MEET Dr Ashwin Porwal Founder surgeon healing
hand clinic Consultant Colorectal
Surgeon,M.B.B.S, D.N.B. ( Surgery ),Dip.
Proctology ( Italy ),Dip. Laparoscopy ( EITS-
IRCAD, France ).
www.healinghandsclinic.co.in
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www.healinghandsclinic.co.in
