In a recent Cochrane Database review, evaluating 12 studies with 1,142 patients, the use of bipolar energy was found to shorten the procedure time and produce less postoperative pain when compared to conventional surgery 18. Closed hemorrhoidectomy. Is the most commonly used surgical technique. Covidien has launched the EEA Hemorrhoid & Prolapse Stapler Set with DST series technology. It is used to treat hemorrhoids and rectal prolapse, and although still uncomfortable, internal stapling Evidence-based recommendations on stapled haemorrhoidopexy for treating haemorrhoids in adults.. Guidance development process. How we develop NICE technology appraisal guidance. Is this guidance up to date? We reviewed the evidence in April 2016. The conventional hemorrhoidectomy has showed good results but the severe postoperative pain is an important complain. Currently diverse surgical alternatives have been described, mainly to avoid the postoperative pain that follows surgical hemorrhoidectomy. One of these new options is the stapled hemorrhoidectomy using the PPH stapler. This Milligan-Morgan hemorrhoidectomy - Duration: 2:10. Operation Videos for Surgeons 34,044 5:26. Upper GI Endoscopy at Cook Children's - Duration: 2:31. Cook Children's Health Care System 33,696 The present review is aimed at focussing the state of the art of surgery for hemorrhoids, and reporting both com-plications and outcome of the various procedures. Open haemorrhoidectomy The classical Milligan Morgan HC is still widely used, being the most common operation among Italian colo-proctologists 9,22 but two modifications have become BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas. Introduction. Hemorrhoidal disease is frequently encountered in daily practice. While rarely see