Transcript Painless Proctology

Painless Proctology
A new dimension in proctology care
Dr Rusy Bhalla M.S.
Current proctology
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Piles
Fistula
Piles A curse! Is the treatment worse?
Formation of Piles
Piles
Causes Of Painful Proctology
Current Piles management
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Cutting of tissues at anal canal
Exposing of Anal sphincter
Blood loss
Use of cautery
Normal Piles Surgery appearence
Complications of Routine Piles Surgery
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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
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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
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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
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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
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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 proctology
Huge benefit to patients
30% of General surgery practice
Concept Marketing required
Huge returns
No centre in Mumbai practicing it
First mover advantage