Piles treatment in Pune : Healing Hands Clinic

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Piles Hospital/Clinic in Pune
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BEST SURGEON FOR PILES IN PUNE, INDIA
Dr. Ashwin Porwal Consultant Colorectal
Surgeon,M.B.B.S, D.N.B. (Surgery),Dip.
Proctology (Italy),Dip. Laparoscopy (EITS-
IRCAD, France).
The mastermind behind Healing Hands Clinic Pune,
 India's leading superspeciality Proctology
clinic.
ACHIVEMENTS

• Has introduced LASER Surgery for
  Fistula(Bhagandar)-FILAC (Fistula Laser Closure).
• Performed the first P.O.P.S. (Pelvic Organ
  Prolapse Suspension) surgery in India.
• Has performed the maximum number of STARR
  surgeries in Asia.
• Performed the first S.T.A.R.R. Surgery for
  Chronic Constipation in Maharashtra
• in November 2009.

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What Are Piles (Mulvyadh) ?
PILES ( Mulvyadh/Bavasir ) ( clinically known
as hemorrhoids ) basically, is the swelling of
blood vessels near the anal opening and a sliding
down of the lining of the anal canal. The lumps
are formed by increased pressure on blood vessels
in the area, causing them to enlarge and swell.

• Causes of Piles
• Constipation this is the most common cause
• Hard stool/Strain during bowel movement
• Faulty toilet habits
• Obesity
• Lifting heavy loads
• Pregnancy and child birth

• Symptoms Of Piles
• Painless bleeding while passing stools
• Feeling a lump outside the anus
• Pruritus ani or itching around the anus
• Fecal soiling of undergarments
• If a blood clot forms in the hemorrhoid 
• it leads to a severely painful swelling.

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Grades/Stages of Haemorrohids
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Treatments of Piles
I. MCDPA II. LASER HEMORRHOIDOPLASTY ( LHP ) aka
Laser treatment for Piles III. MIPH ( Mininally
Invasive Procedure for Hemorrhoids ) aka PPH (
Procedure for Prolapse and Hemorrhoids ) aka
Stapler Hemorrhoidopexy
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MCDPA

• An innovation of Dr. Porwal himself, this is a
  conservative approach intended to halt and
  reverse the early disease without any surgical
  intervention
• Medication - Creams ( Anoac ) and stool softeners
  are used.
• Constac - A herbal preparation formulated under
  the guidance of Dr. Porwal by Ayurvedic doctors
  at Healing Hands Herbs.
• Diet - Counselling by qualified nutritionist to
  correct any imbalances in diet and chart a diet
  conducive to healthy bowel habits.
• Physiotherapy - Pelvic floor physiotherapy helps
  to strengthen muscles in the region.
• Ayurveda therapy - This includes about 6 sessions
  of enema with medicated herbal oils.

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 LASER HEMORRHOIDOPLASTY ( LHP )
Laser Hemorrhoidoplasty is the preferred
treatment for Grade 2 and early stages of Grade 3
Piles. 

• Advantages of LHP
• No cuts, no open wounds
• Less post-operative pain as compared to other
  procedures
• Healing is excellent as there are no cuts or
  stitches
• No sense of urgency (need to rush to the toilet)
  after the procedure
• No risk of rectal stenosis
• Patient can return to normal activities within a
  shorter space of time

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MIPH /PPH /Stapler Hemorrhoidopexy

• It is a procedure that was originally
  conceived in 1994 by Dr. Antonio Longo, and has
  since gained popularity as the treatment of
  choice for Grade 3 and Grade 4 prolapsed Piles.

• Advantages of MIPH/PPH
• The Stapler procedure has definite advantages
  over other treatments available for Piles
  (Mulvyadh).
• No external cuts/stitches
• Minimal blood loss
• Minimal pain easily managed by painkillers
• Sphincter function is not hampered hence
  voluntary control over motion is preserved
• Faster recovery - Patient can resume work from
  5th day
• Lowest recurrence rate (8) - This is further
  brought down to lt1 by Mucopexy technique
  introduced by Dr. Porwal at HHC
• Safe in diabetics, heart patients and senior
  citizens

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FAQs For Piles

• Q What do I feel during the procedure?
• It's like taking a small nap! All you
  will feel is a small needle prick during your
  preparation for the procedure. The entire surgery
  takes about 30 minutes.
• Q What happens after the operation? You
  will normally be able to start drinking water
  shortly after the procedure and can start
  eating as soon as you are hungry. You will be
  able to get out of bed a few hours after
  surgery.You are likely to have some pain after
  the procedure that is easily controlled with
  painkillers. You can expect a small amount of
  bleeding and wearing a pad will protect your
  clothes from getting soiled.
• Q What are my visits to the toilet going to
  be like?
• You will normally open your bowels within
  2-3 days of your operation. This may be
  uncomfortable at first and there could be a sense
  of 'urgency' (need to rush to the toilet). You
  may notice mild blood loss after each bowel
  movement but this will gradually reduce over the
  next few days. Maintain hygiene, and wash and
  keep the operation site clean.It is important to
  maintain a regular bowel move that should be well
  formed but soft. You may need to take prescribed
  laxatives for 2-4 weeks. Eating a high fibre diet
  and increasing water/fluid intake will help.

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FAQs For Piles

• Q When can I go home?
•     If your operation is planned as a day care
  procedure you can go home as soon as the effect
  of the aneasthetic has worn off, you have passed
  urine and you are comfortable, eating and
  drinking. Since a general anaesthetic is used, it
  is advisable that a responsible adult take you
  home and stay with you for 24 hours.Before you
  are discharged you will be advised about
  post-operative care, painkillers and laxatives.
• Q When will I get back to my routine
  activities?
•      You can return to normal physical and
  sexual activities when you feel comfortable.
  Anal sex should be avoided.You can return to
  work usually by the 5th day after the surgery,
  although this also depends on the type of work
  you do.
• Q When should I seek help?
• If you develop a fever above 100 F
• Increasing pain, swelling, redness or discharge
• Severe bleeding
• Constipation gt3 days

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• THANK YOU !!!
• Healing Hands Clinic, Tilak Road
• Mangalmurti Complex, 105,
• First floor, Near Hirabaug,
• Pune 411002
• Tel[phone]
• Contact Us8888288884
• Visit Us www.healinghandsclinic.co.in