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Prior to the introduciton of the the procedure for prolapse and haemorroids (PPH), the main interventional treatments for severe grade 3 and 4 haemorroids has been Milligan-Morgan open haemorroidectomy. This procedure is considered quite painful by patients.

The PPH procedure offeres the possibility of less pain and more rapid return to daily activities than conventional `open' haemorroidectomy.

The main notes of caution are;

Adrian P. Ireland