Hemorrhoidal Stapler

A hemorrhoidal stapler (hemorrhoid stapler, PPH stapler) is a single-use circular surgical stapler that cuts and staples prolapsing rectal mucosa in the anal canal in one closure, for stapled hemorrhoidopexy (PPH). It comes at 32 and 34 mm with a 3.8 mm staple height and is delivered with its anorectal set: applicator, anal dilator, purse-string suture anoscope and suture threader.

Manufacturer: LAPEM / RIPEClass IIb4 models

This page is intended for healthcare professionals.

Hemorrhoidal Stapler

Measurements at a glance

Diameter
32/34 mm
by model
Staple height
3.8 mm
all models
Hemorrhoidal stapler / Hemoroid stapleri A B C
A
Diameter 32 / 34 mm
B
Ring cut outer diameter 24 mm on the RYGC-B32A and 26 mm on the RYGC-B34A
C
Staple height 3.8 mm

Schematic, not to scale

Models

Diameter (mm)Staple height (mm)StaplesModel
PAH, LAPEM
323.830PAH32
343.832PAH34
RYGC, RIPE
323.832RYGC-B32A
343.834RYGC-B34A
Ring cut outer diameter
24 mm on the RYGC-B32A and 26 mm on the RYGC-B34A
Tissue thickness
The gap gauge reads 0.8 to 1.5 mm for the tissue to be joined
Set contents
P02 anorectal applicator, P03 circular anal dilator, P04 purse-string suture anoscope, P05 suture threader
Materials
Anvil and circular blade Y12Cr18Ni9 to GB/T 1220-2007, staple and accessory shell PC with 20% GF, staples TA4G to GB/T 13810-2017
Anastomosis pressure
The pressure stress borne by the stapled section is not less than 3.6 kPa, with no leak and no separation
Suture position
The purse-string suture about 4 cm above the dentate line, the anastomosis 2 cm above it

The diameter column is the scope on the LAPEM models and the outer diameter on the RIPE models.

A single-use circular stapler for prolapsing rectal mucosa in the anal canal, registered at 32 and 34 mm with a 3.8 mm staple height, delivered with its anorectal set.

In which cases?

  • Prolapse of the rectal mucosa in the anal canal, which is the indication.

What makes it different?

  • Four suture holes on the head, for ease of use.
  • A gap gauge on the body the thickness of the tissue to be joined is 0.8 to 1.5 mm and the gauge reads that range.
  • The set carries a transparent purse-string anoscope with a scale and two kinds of dilator, so the same pack covers two techniques.

Frequently asked questions

What is a hemorrhoid stapler (PPH stapler) and what is it used for?

The hemorrhoidal stapler is a single-use circular surgical stapler used for prolapse of the rectal mucosa in the anal canal. It cuts and staples the prolapsing mucosa in one closure. The hemorrhoidal staplers of firms such as Covidien and Ethicon belong to the same device class. The brand names belong to their owners, and the product on this page is not a product of those brands. Whether an operation is right for a patient is the physician's decision.

What is the Longo operation (stapled hemorrhoidopexy, PPH) and how does it relate to the hemorrhoid stapler?

Longo operation is the name used for stapled hemorrhoidopexy (PPH). This page describes the device used in that operation, the hemorrhoidal stapler and its anorectal set, not the operation itself. Who the operation suits, how it goes and how recovery runs are matters for the treating physician.

What is the difference between the 32 mm and the 34 mm hemorrhoid stapler?

Both have a 3.8 mm staple height. The PAH32 carries 30 staples and the PAH34 32 staples. The RYGC-B32A carries 32 and the RYGC-B34A 34 staples, with a ring cut outer diameter of 24 and 26 mm. The gap gauge reads 0.8 to 1.5 mm for the tissue to be joined.

Is the hemorrhoidal stapler sterile and single use?

Yes. It is sterilized with ethylene oxide, supplied in a sterile blister pack and single use. The shelf life is 60 months on the PAH records and three years on the RYGC records, stored at a humidity not over 80% and a temperature between 0 and 54 degrees Celsius.

What does the price of the hemorrhoidal stapler (wholesale and carton) depend on?

The price depends on the diameter (32 or 34 mm), family and quantity. The set with its anorectal accessories is delivered with the stapler. Wholesale and institutional orders use the same quote route. Use the Request an export quote button in the Export and Bulk Orders section of this page for a fast quote.

Which diameters are supplied?

Two diameters, 32 and 34 mm, in the PAH and RYGC families, both with a 3.8 mm staple.

What comes in the set besides the stapler?

Four accessories: the P02 anorectal applicator, the P03 circular anal dilator, the P04 purse-string suture anoscope and the P05 suture threader.

Who supplies hemorrhoid staplers (PPH staplers) in Türkiye (Turkey), and can I order in bulk or for export?

Melekırmak, an Istanbul-based medical device distributor founded in 2006, supplies hemorrhoid staplers (PPH staplers) to hospitals across Türkiye and answers international enquiries. Bulk and institutional orders are quoted case by case. For an export order, state the diameter (32 or 34 mm), the family and the quantity, together with the destination country, and use the Request an export quote button in the Export and Bulk Orders section of this page. Availability, documentation and lead times in your country are confirmed in the reply.

Technical data

Manufacturer
LAPEM / RIPE
Class
IIb
SUT code
None
Sterilization
Ethylene oxide, sterile blister, single use
Shelf life and storage
60 months on the PAH records and three years on the RYGC records, at a humidity not over 80% and a temperature between 0 and 54 degrees Celsius
Brand
LAPEM, our own brand; the registered circular and hemorrhoidal families also carry RIPE
Registered families
PAH32 and PAH34, and RYGC-B32A and RYGC-B34A
Contraindications
Pelvic tumour, portal pressure, persistent constipation and pregnancy

Export and Bulk Orders

Based in Istanbul, Türkiye, we supply hospitals nationwide and answer international enquiries. Ask us about availability, documentation and lead times in your country.

Request an export quote

Updated: 09.11.2026

Distributing Hemorrhoidal Stapler in Türkiye

Registration, the first cases and nationwide supply are handled by one team.