Stapler used for MIPH -: (A) Linear cutting stapler, (B) Circular cutting stapler, (C) Linear stapler, (D) Circular stapler
Answer is B. Ans. is 'b' i.e., Circular cutting stapler Procedure for prolapse and hemorrhoides (PPH) -- aka MIPH -- aka stapled hemorrhoidectomy --o Minimally invasive proctoscopic hemorrhoidectomy -# In this procudure, a circular cutting stapler (PPH3) is used to excise a short. Circumferential segment of rectal mucosa proximal to dentate line, thus ligating venules feeding the hemorrhoides.