What is Stapler used for MIPH and explain in detail?
.. Stapled haemorrhoidopexy (Antonio Longo) is circumferential excision of the mucosa and submucosa 4 cm above the dentate line using circular haemorrhoidal stapler passed per anally (MIPH - Minimally Invasive Procedure for Haemorrhoids). Advantages are--It is less painful; less blood loss; faster recovery; sho hospital stay and equally efficacious. It is done only for prolapsed piles. Improper purse string can cause incomplete doughnut leading to severe haemorrhage. ref:SRB&;s manual of surgery,ed 3,pg no 910