Traditional Haemorrhoidectomy vs MIPH: Which Surgery is Better

Haemorrhoids, commonly known as piles, are swollen veins in the lower rectum or anus that can cause discomfort, pain, bleeding, and itching. When lifestyle changes and medications do not provide relief, surgical treatment may be recommended. Two commonly performed procedures are Traditional Haemorrhoidectomy and MIPH (Minimally Invasive Procedure for Haemorrhoids).

Knowing the difference between these procedures can help patients make informed decisions about their treatment.

What is Traditional Haemorrhoidectomy?

A Traditional Haemorrhoidectomy is a conventional surgical method used to remove large or severe haemorrhoids. During this procedure, the surgeon uses surgical instruments to cut and remove the swollen hemorrhoidal tissue.

Key Features

• Usually recommended for large, prolapsed, or severe haemorrhoids
• Performed under spinal or general anaesthesia
• The haemorrhoidal tissue is completely removed
• Recovery may take a few weeks

Advantages

• Highly effective for advanced haemorrhoids
• Lower chances of recurrence in severe cases

Limitations

• Post-operative pain may be higher
• Longer recovery time compared to newer techniques
• Some patients may require a few days of hospital stay

Read more: Understanding Piles in Women: Causes, Symptoms, and Treatment

What is MIPH (Stapled Haemorrhoid Surgery)?

MIPH (Minimally Invasive Procedure for Haemorrhoids) is a modern, minimally invasive technique used primarily for internal haemorrhoids. Instead of removing haemorrhoids, the procedure uses a special stapling device to reposition the haemorrhoidal tissue and cut off its blood supply.

Key Features

• Minimally invasive stapler-based surgery
• Mostly used for Grade 2–3 internal haemorrhoids
• Causes less pain after surgery
• Faster recovery and earlier return to daily activities

Advantages

• Minimal post-operative pain
• Shorter hospital stay
• Faster recovery
• Less tissue damage

Limitations

• Not suitable for all types of haemorrhoids
• In some cases, the recurrence rate may be slightly higher compared to traditional surgery

Read more: Advanced Laser Treatment For Piles, Fissures & Fistula

Key Differences Between Traditional Haemorrhoidectomy and MIPH

Surgical Method

• Traditional Haemorrhoidectomy: Haemorrhoids are surgically removed.
• MIPH: Haemorrhoids are repositioned using a stapling device.

Pain After Surgery

• Traditional Haemorrhoidectomy: Usually associated with more post-operative discomfort.
• MIPH: Typically causes significantly less pain.

Recovery Time

• Traditional Haemorrhoidectomy: Recovery usually takes around 2–4 weeks.
• MIPH: Recovery is generally faster, around 5–10 days.

Hospital Stay

• Traditional Haemorrhoidectomy: May require a slightly longer hospital stay.
• MIPH: Hospital stay is usually shorter.

Best Suited For

• Traditional Haemorrhoidectomy: Severe or large haemorrhoids.
• MIPH: Internal haemorrhoids, particularly Grade 2–3.

Which Procedure is Right for You?

The choice between Traditional Haemorrhoidectomy and MIPH (Minimally Invasive Procedure for Haemorrhoids) depends on several factors, including:

• Severity and grade of haemorrhoids
• Patient’s symptoms
• Medical history
• Doctor’s clinical evaluation

A consultation with a colorectal or general surgeon can help determine the most appropriate treatment option.

When Should You See a Doctor?

Seek medical advice if you experience:

• Persistent bleeding during bowel movements
• Pain or swelling around the anus
• Prolapsed haemorrhoids
• Symptoms that do not improve with medications or lifestyle changes

Early evaluation can help prevent complications and ensure timely treatment.