Best piles treatment in india (1) - PowerPoint PPT Presentation

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Best piles treatment in india (1)

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Dr Ashwin Porwal is the founder and lead surgeon of Healing Hands Clinic (HHC). for more information visit us www.indiapiles.com – PowerPoint PPT presentation

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Title: Best piles treatment in india (1)


1
Best piles Treatment in india
  • We understand that Piles (Mulvyadh/Bavasir) may
    not be a subject you feel comfortable talk Dr
    Ashwin Porwal is the founder and lead surgeon of
    Healing Hands Clinic (HHC). He has dedicated his
    career to practice and research in Proctology
    the branch of medicine dealing with the disorders
    of the rectum and anal canal. He has had the
    privilege of receiving training in Proctology
    from the world-renowned Colorectal surgeon, Dr
    Antonio Longo of Italy.

2
LASER HEMORRHOIDOPLASTY (LHP) - LASER REATMENT
FOR PILES
  • Laser Hemorrhoidoplasty is the preferred
    treatment for Grade 2 and early stages of Grade 3
    Piles.This procedure is done under short general
    anesthesia and takes about 20 minutes.

3
LASER HEMORRHOIDOPLASTY (LHP) - LASER REATMENT
FOR 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

4
LASER HEMORRHOIDOPLASTY (LHP) - LASER TREATMENT
FOR PILES
  • POTENTIAL DRAWBACKS OF LHP
  •  Burning sensation Some patients have a
    burning sensation in the area for a few days.
    This usually disappears with time.
  •   External skin tag thrombosis

5
 What is MIPH/PPH?
  • It is a procedure that was originally conceived
    in 1994 by Dr Antonio Longo, and since,has gained
    popularity as the treatment of choice for Grade 3
    and Grade 4 prolapsed Piles.
  •  

6
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 lt 1 byMucopexy technique
    introduced by Dr Porwal at HHC.
  •  
  •   Safe in diabetics, cardiac patients ( those
    with heart problems ) and senior citizens

7
 POTENTIAL DRAWBACKS
  •  As with any surgical procedure there are
    possible drawbacks associated with MIPH
  •  
  •  Inflammation or Infection - Can be prevented
    with anti-inflammatory agents and antibiotics
  •  
  •  
  •  Urgency (i.e. need to rush to the toilet) - May
    last for 4-8 weeks. This can be kept under
    control with Kegels exercises
  •  
  •   Bleeding following the procedure (6-8)
  •  
  •  Staple line stricture ( 5 ) - In experienced
    hands it can be prevented with proper positioning
    of staple line
  •  
  •   Recurrence ( 8 ) - With the addition of
    Mucopexy, this can be brought down to lt 1

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