Painless Proctology

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Painless Proctology

• A new dimension in proctology care

Dr Rusy Bhalla M.S.
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Current proctology

• Piles
• Fistula

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Piles A curse! Is the treatment worse?
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Formation of Piles
Piles
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Causes Of Painful Proctology
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Current Piles management

• Cutting of tissues at anal canal
• Exposing of Anal sphincter
• Blood loss
• Use of cautery

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Normal Piles Surgery appearence
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Complications of Routine Piles Surgery

• Pain for 3-4 weeks
• Intra op Bleeding
• Constipation increased due to anal spasm
• Partial Anal stenosis after 1 year

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Result of Routine Piles surgery
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Complications of Partial Anal Stenosis

• Life long medication to pass motions
• Straining at passing motions causes bleeding
• Interpreted as return of piles
• Abdominal pain due to constipation

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Painless Laser Piles Surgery

• No Post operative pain
• No Intra op bleeding
• No Post operative complications
• No Recurrence
• No Anal stenosis
• No Constipation
• No medications
• OPD Procedure

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Routine fistulectomy
Fistula opening
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Causes of painful Fistulectomy
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Routine Post Fistulectomy Surgery
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Post Operative Fistulectomy

• Intense pain for 3-4 weeks
• No sitting for 4 weeks
• Healing takes 2 months
• Partial Anal stenosis in more than 50 cases
• No relief of constipation

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Partial Anal stenosis Development
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Painless Fistulectomy
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Painless Fistulectomy

• Minimal pain for 2 days
• Patient sitting on 2nd day
• Day care surgery
• No danger of Anal stenosis
• No danger of Anal Incontinence
• Total relief of constipation
• No medication beyond 1 week

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Painless Proctology

• Ideal answer to problems of proctology
• Huge benefit to patients
• 30 of General surgery practice
• Concept Marketing required
• Huge returns
• No centre in Mumbai practicing it
• First mover advantage