painless proctology a new dimension in proctology care dr rusy bhalla m.s
TRANSCRIPT
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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 proctologyHuge benefit to patients30% of General surgery practiceConcept Marketing required Huge returnsNo centre in Mumbai practicing itFirst mover advantage