Centre Of Excellence For

PilesProctology
Hospital/Clinic in
Pune

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
http://www.healinghandsclinic.co.in
Maharashtra

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

Symptoms Of Piles

Constipationthis is the most

common cause

Painless bleeding while passing

stools

Hard stool/Strain during bowel

movement

Feeling a lump outside the anus

Faulty toilet habits

Pruritus ani or itching around the

anus

Obesity

Fecal soiling of undergarments

Lifting heavy loads

If a blood clot forms in

http://www.healinghandsclinic.co.in

Grades/Stages of Haemorrohids

http://www.healinghandsclinic.co.in

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
http://www.healinghandsclinic.co.in

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.

http://www.healinghandsclinic.co.in

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
http://www.healinghandsclinic.co.in

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 <1% by
Mucopexy technique introduced by Dr. Porwal at HHC
Safe in diabetics, heart patients and seniorhttp://www.healinghandsclinic.co.in
citizens

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.

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.

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.

http://www.healinghandsclinic.co.in

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 >3 days

http://www.healinghandsclinic.co.in

THANK YOU !!!

Healing Hands Clinic, Tilak Road

Mangalmurti Complex, 105,
First floor, Near Hirabaug,
Pune 411002
Tel:020-24444442
Contact Us:8888288884
Visit Us: www.healinghandsclinic.co.in