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Dennis G. Begos, M.D., F.A.C.S., F.A.S.C.R.S.  
General and Colorectal Surgery
Laparoscopic Colorectal Surgery

A minimally invasive surgical approach recently introduced in the United States, called Procedure for Prolapse and Hemorrhoids (PPH), may help patients recover from hemorrhoid surgery faster with less pain when compared to conventional hemorrhoidectomy procedures.

Clinical trial results comparing Procedure for Prolapse and Hemorrhoids to conventional hemorrhoid surgery have shown that patients who have the PPH procedure may experience:

  • less pain
  • a quicker recovery period
  • less overall complications
  • need for less postoperative pain medication
     

Before and After PPH & Rectal Prolapse Repair
The Procedure for Prolapse and Hemorrhoids (PPH) procedure reduces the prolapsed mucosa and restores anal tissue to its original anatomical position. This hemorrhoid operation results in less pain than traditional procedures because it is performed above the dentate, or “pain” line inside the anal canal. Traditional procedures are performed below the dentate line, affecting many sensitive nerve endings. PPH surgery patients have been shown to experience less pain and a faster recovery, i.e. return to normal activities, such as work, than patients who undergo a traditional repair operation.

How PPH works?
Using a hemorrhoidal circular stapler device, the procedure for prolapse and hemorrhoids 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 hemorrhoidectomy procedures because it is performed above the "pain" line, or dentate line inside the anal canal. The advantage is that this hemorrhoid treatment method affects few nerve endings, while traditional hemorrhoidectomy procedures are performed below the dentate line, affecting many sensitive nerve endings.
 

For more information about this procedure, click here or call CSA at 781-279-1123

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