Using a stapling device, the PPH procedure essentially "lifts up" or repositions the mucosa, or anal canal tissue, and reduces blood flow to the internal hemorrhoids. These internal hemorrhoids, then, typically shrink within four to six weeks after the procedure. The PPH procedure results in less pain than traditional procedures because it is performed above the "pain" line, or dentate line inside the anal canal. The advantage is that this method affects few nerve endings, while traditional procedures are performed below the dentate line, affecting many sensitive nerve endings.
Benefits of PPH include:
quicker return to normal activities, including work
less time in the hospital
less post-operative pain
less post-operative bleeding
less post-operative itching
less post-operative incontinence and constipation
PPH is indicated for patients with:
Second degree hemorrhoids after failure of multiple rubber band ligation
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