Srinagar, Oct 30: In a rare feat Dr Sammiullah has successfully completed two hundred stapled hemmoroidopexies (MIPH) for hemmoroids (piles).
This surgery is latest in treatment of bleeding piles and has many advantages over conventional open surgery like having no wound, less pain and scar-less surgery.
Speaking on the occasion of completing two hundred such surgeries Dr Sammiullah emphasized on the need of making such surgeries routine .He has conducted almost 10 training camps to educate the surgeons working in peripheries .
Out of the various types of medical and surgical interventions available to treat Piles, Minimally Invasive Procedure for Hemorrhoids (MIPH) 0r painless stapler surgery is known to be very popular since it acts an alternative approach to surgical interventions made for piles.
MIPH is defined as a minimally invasive surgical technique in which a band of loose or prolapsed mucosa and sub mucosa in the rectum is excised , proximal to the piles and disrupted mucosa is fixed by ‘stapled end to end mucosal anastomosis’.
This will ultimately occlude the blood supply to the superior hemorrhoidal artery above the hemorrhoidal tissue, resulting in the retraction of prolapsed mucosa back to its original anatomical position. A special circular stapler known as PPHO3 is used in the anastomosis and the whole maneuver will take around 30–45 minutes.
Indications for this type of a surgery include, Grade III hemorrhoids (comes out on straining and needs to be pushed in) and grade IV hemorrhoids (prolapsed out and cannot be pushed in) which are found to be reducible on manipulation at surgery.
However, there can also be some contra indications, which may prevent from an individual undergoing MIPH, which include very large internal hemorrhoids, internal hemorrhoids which may not heal even after non-surgical treatments, large external hemorrhoids which cannot be manipulated in the operating room and patients with full thickness rectal prolapse or anal stenosis.
MIPH, has several advantages over surgical treatments such as minimal pain, minimal blood loss, quick recovery and reduced hospital stay. In fact, patients will be able to return to their normal daily activities within a day. CNS