Treatment of piles at Bengaluru

1
Treatment of Piles At Bengaluru
www.healinghandsclinic.com
2
What is piles
Piles is another term for hemorrhoids.
Hemorrhoids are collections of inflamed tissue in
the anal canal. They contain blood vessels,
support tissue, muscle, and elastic fibers. Piles
are inflamed and swollen collections of tissue in
the anal area. They can have a range of sizes,
and they may be internal or external. Internal
piles are normally located between 2 and 4
centimeters (cm) above the opening of the anus,
and they are the more common type. External piles
occur on the outside edge of the anus.
www.healinghandsclinic.com
3
Piles is classified into four grades

• Grade I There are small inflammations, usually
  inside the lining of the anus. They are not
  visible.
• Grade II Grade II piles are larger than grade I
  piles, but also remain inside the anus. They may
  get pushed out during the passing of stool, but
  they will return unaided.
• Grade III These are also known as prolapsed
  hemorrhoids, and appear outside the anus. The
  individual may feel them hanging from the rectum,
  but they can be easily re-inserted.
• Grade IV These cannot be pushed back in and need
  treatment. They are large and remain outside of
  the anus.
• External piles form small lumps on the outside
  edge of the anus. They are very itchy and can
  become painful if a blood clot develops, as the
  blood clot can block the flow of blood.
  Thrombosed external piles, or hemorrhoids that
  have clotted, require immediate medical
  treatment.

www.healinghandsclinic.com
4
GRADE WISE TREATMENT APPROACH AT HEALING HANDS
CLINIC AT BENGALARU
I. MCDPA

• An innovation of Dr Ashwin Porwal , 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 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

www.healinghandsclinic.com
5
II. LASER HAEMORRHOIDOPLASTY ( LHP )  Laser
treatment for Piles
The most advanced method of surgical treatment of
hemorrhoidal disease it has been used all around
the world, as well as in Polyclinic Lege Artis
for the past couple of years with excellent
results. It is very attractive due to minimum
invasiveness postoperative course is almost
painless there are no incisions, no sutures,
open wounds and bleeding no complications that
occur with classical techniques. Return to daily
activities is possible after a very short
time. It is performed with hemorrhoids of grade
II and III that are uncomplicated.
Description of the procedure
LHP is performed using BIOLITEC laser its fiber
optical thread applies radial laser beam to
target tissue. The laser beam causes a fibrous
reaction in endothelial (inner) cells of
hemorrhoidal vessels and in cells of connective
tissue.Fibrous reaction leads to narrowing or
even closing of the blood vessels that supply
hemorrhoidal cushions with blood, which causes
their deflation and drying. Likewise, fibrous
reaction in perihemorrhoidal connective tissue
leads to retraction and fixation in the anal
canal, which solves the problem of prolapse of
hemorrhoids. In short, the same procedure
alleviates all symptoms and discomforts caused by
hemorrhoids bleeding, prolapse, pain.
www.healinghandsclinic.com
6
III. MIPH ( Minimally Invasive Procedure for
Haemorrhoids ) Stapler Haemorrhoidopexy
Stapled hemorrhoidectomy is surgical technique
for treating hemorrhoids, and is the treatment of
choice for third-degree hemorrhoids (hemorrhoids
that protrude with straining and can be seen on
physical exam outside the anal verge. Persistent
or intermittent manual reduction is necessary).
Stapled hemorrhoidectomy is a misnomer since the
surgery does not remove the hemorrhoids but,
rather, the abnormally lax and expanded
hemorrhoidal supporting tissue that has allowed
the hemorrhoids to prolapse downward. For
stapled hemorrhoidectomy, a circular, hollow tube
is inserted into the anal canal. Through this
tube, a suture (a long thread) is placed,
actually woven, circumferentially within the anal
canal above the internal hemorrhoids. The ends of
the suture are brought out of the anus through
the hollow tube. The stapler (a disposable
instrument with a circular stapling device at the
end) is placed through the first hollow tube and
the ends of the suture are pulled. Pulling the
suture pulls the expanded hemorrhoidal supporting
tissue into the jaws of the stapler. The
hemorrhoidal cushions are pulled back up into
their normal position within the anal canal. The
stapler then is fired. When it fires, the
stapler cuts off the circumferential ring of
expanded hemorrhoidal tissue trapped within the
stapler and at the same time staples together the
upper and lower edges of the cut tissue.
www.healinghandsclinic.com
7
THANK YOU
For piles treatment visit us at
www.healinghandsclinic.com
8800114092