Painless Proctology

A new dimension in proctology care

Dr Rusy Bhalla M.S.

Current proctology

Piles Fistula

Piles A curse! Is the treatment worse?

Formation of Piles

Piles

Causes Of Painful Proctology

Current Piles management

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

Normal Piles Surgery appearence

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

Result of Routine Piles surgery

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

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

Routine fistulectomy

Fistula opening

Causes of painful Fistulectomy

Routine Post Fistulectomy Surgery

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

Partial Anal stenosis Development

Painless Fistulectomy

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

Painless Proctology

Ideal answer to problems of proctologyHuge benefit to patients30% of General surgery practiceConcept Marketing required Huge returnsNo centre in Mumbai practicing itFirst mover advantage