Stapled hemorrhoidectomy, a circular, hollow tube is inserted into the anal canal. The stapler which is made by ethicon company is a disposable instrument with a circular stapling device at the end. This is also called as PPH stapler. PPH stands for procedure for prolapse and hemorrhoid. Stapler is placed through the first hollow tube and the ends of the suture are pulled. Pulling the suture pulls the expanded hemorrhoidal supporting tissue as purse string into the jaws of the stapler. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal.

Gastroenterologists, on the other hand, first complete 3 years of medical residency, learning to care for all medical conditions from diabetes and heart disease to pneumonia and rheumatoid arthritis. They then do 3 years of specialty training in the medical management of gastrointestinal diseases and learn to do colonoscopy and endoscopy. Some do an extra year of training in inflammatory bowel disease, liver disease, or advanced endoscopy as an example.

The internal hemorrhoids shrink in a few weeks Stapled hemorrhoidectomy is a misnomer since the surgery does not remove the hemorrhoids but, rather, the abnormally lax and expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.