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Piles treatment in Pune : Healing Hands Clinic


Healing Hands Clinic is one of the best clinic for piles, constipation, fistula. We aim to provide best treatment to our patients at affordable cost. Healing Hands Clinic is a leading proctology hospital with more than 30,000 stories of piles treatment in Pune, Chinchwad, Chakan and Navi Mumbai. See more @ or contact us: 8888288884. – PowerPoint PPT presentation

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Title: Piles treatment in Pune : Healing Hands Clinic

Piles Hospital/Clinic in Pune
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
  • 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.

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.

Grades/Stages of Haemorrohids
Treatments of Piles
Laser treatment for Piles III. MIPH ( Mininally
Invasive Procedure for Hemorrhoids ) aka PPH (
Procedure for Prolapse and Hemorrhoids ) aka
Stapler Hemorrhoidopexy
  • An innovation of Dr. Porwal himself, this is a
    conservative approach intended to halt and
    reverse the early disease without any surgical
  • 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.

Laser Hemorrhoidoplasty is the preferred
treatment for Grade 2 and early stages of Grade 3
  • Advantages of LHP
  • No cuts, no open wounds
  • Less post-operative pain as compared to other
  • Healing is excellent as there are no cuts or
  • 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

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
  • 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

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.

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
  •      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

  • THANK YOU !!!
  • Healing Hands Clinic, Tilak Road
  • Mangalmurti Complex, 105,
  • First floor, Near Hirabaug,
  • Pune 411002
  • Tel020-24444442
  • Contact Us8888288884
  • Visit Us www.healinghandsclinic.co.in
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