Which of the following stapler is used for MIPH
Stapled haemorrhoidopexy With the aim of symptom relief but preservation of the anal cushions, the technique of stapled haemorrhoidopexy (Longo), which utilises a purpose-designed stapling gun (PPH, Ethicon Inc.), has also been described and is widely used in Europe. This procedure excises a strip of mucosa and submucosa (together with the vessels travelling within them) circumferentially,well above the dentate line. Activation of the gun also simultaneously repairs the cut mucosa and submucosa by stapling the edges together. This procedure is quick to perform, and controlled trials suggest that it is less painful and less traumatic than conventional haemorrhoidectomy and, at least in the sho term, it seems to be equally efficacious. However, evidence is emerging that the technique is associated with higher recurrence rates than following conventional haemorrhoidectomy, and associated with more additional surgery. The patient, after counselling, may or may not choose to accept a higher recurrence rate to take advantage of the sho-term benefits. Ref: Bailey and love 27th edition Pgno : 1359
Linear cutting stapler
Circular cutting stapler
Linear stapler
Circular stapler
G.I.T