Pune: Rajesh, a 52-year-old professional, endured discomfort during bowel movements, occasional rectal bleeding, and itching for over a year due to grade-II piles (haemorrhoid). When conservative treatments didn’t bring any relief, he opted for a minimally invasive surgery at a city hospital.
“The surgery has restored my life. It was painless and quick.It has been five years since the surgery and I have faced no issues so far,” he said.
Rajesh was part of an observational study comprising a long-term follow-up of six years of 1,088 piles patients who opted for laser haemorrhoidopexy, the minimally invasive surgery against the condition. These patients were from India, mainly Maharashtra, with a handful also hailing from western nations. The study was published in the Indian Journal of Colorectal Surgery in September this year.
“Our long-term study of 1,088 patients has shown that this approach is not only safe but also minimizes pain and reduces complications, especially for grade-II and III haemorrhoids. The chances of the problem returning are very low,” said Pune-based colorectal surgeon Dr Ashwin Porwal, founder-director, Healing Hands Clinic – a specialized treatment centre for anorectal conditions.
Surgical intervention for piles is considered when conservative treatments prove ineffective. Traditional surgical methods, however, often entail complications, including recurrence and post-haemorrhoidectomy pain.
Studies have highlighted early complications, such as urinary retention, secondary bleeding, and subcutaneous abscess. “Laser haemorrhoidopexy has emerged as a safe and sphincter-saving procedure with minimal pain and lower complications, especially for grade-II and III haemorrhoids. It boasts a very low recurrence rate, which becomes virtually negligible when addressing internal mucosal prolapse with suture mucopexy in two layers, even after a six-year follow-up,” Dr Porwal said.
(Patient’s name changed
to safeguard privacy)
We also published the following articles recently
“The surgery has restored my life. It was painless and quick.It has been five years since the surgery and I have faced no issues so far,” he said.
Rajesh was part of an observational study comprising a long-term follow-up of six years of 1,088 piles patients who opted for laser haemorrhoidopexy, the minimally invasive surgery against the condition. These patients were from India, mainly Maharashtra, with a handful also hailing from western nations. The study was published in the Indian Journal of Colorectal Surgery in September this year.
“Our long-term study of 1,088 patients has shown that this approach is not only safe but also minimizes pain and reduces complications, especially for grade-II and III haemorrhoids. The chances of the problem returning are very low,” said Pune-based colorectal surgeon Dr Ashwin Porwal, founder-director, Healing Hands Clinic – a specialized treatment centre for anorectal conditions.
Surgical intervention for piles is considered when conservative treatments prove ineffective. Traditional surgical methods, however, often entail complications, including recurrence and post-haemorrhoidectomy pain.
Studies have highlighted early complications, such as urinary retention, secondary bleeding, and subcutaneous abscess. “Laser haemorrhoidopexy has emerged as a safe and sphincter-saving procedure with minimal pain and lower complications, especially for grade-II and III haemorrhoids. It boasts a very low recurrence rate, which becomes virtually negligible when addressing internal mucosal prolapse with suture mucopexy in two layers, even after a six-year follow-up,” Dr Porwal said.
(Patient’s name changed
to safeguard privacy)
We also published the following articles recently
Hypertension follow-ups double if patients get calls
A study in Mumbai showed that adherence to hypertension treatment medication requires more than just a doctor’s prescription. Interventions such as phone calls from the doctor’s clinic and free antihypertensive medications significantly increased follow-up rates and improved blood pressure control. Screening every patient entering a doctor’s clinic can help detect undetected cases. Incentives like treatment counsellors, coordinators, and counseling on diet and adherence also improved treatment uptake. The study found that patients who followed up had better blood pressure control, and participants under MBBS providers were more likely to follow up compared to those under MD or AYUSH practitioners.
A study in Mumbai showed that adherence to hypertension treatment medication requires more than just a doctor’s prescription. Interventions such as phone calls from the doctor’s clinic and free antihypertensive medications significantly increased follow-up rates and improved blood pressure control. Screening every patient entering a doctor’s clinic can help detect undetected cases. Incentives like treatment counsellors, coordinators, and counseling on diet and adherence also improved treatment uptake. The study found that patients who followed up had better blood pressure control, and participants under MBBS providers were more likely to follow up compared to those under MD or AYUSH practitioners.
Hypertension follow-ups double if patients get calls
A study in Mumbai showed that interventions such as phone calls and free antihypertensive medications significantly improved treatment adherence and blood pressure control. The Mumbai Hypertension Project demonstrated that the ward with more interventions had higher control rates compared to the ward with fewer interventions. Patients need a push to follow up with a doctor, and simple interventions like phone calls can lead to significant improvements. Screening every patient entering a clinic can uncover undetected cases. Hypertension treatment has low compliance rates, but incentives like free drug vouchers and counseling can improve uptake.
A study in Mumbai showed that interventions such as phone calls and free antihypertensive medications significantly improved treatment adherence and blood pressure control. The Mumbai Hypertension Project demonstrated that the ward with more interventions had higher control rates compared to the ward with fewer interventions. Patients need a push to follow up with a doctor, and simple interventions like phone calls can lead to significant improvements. Screening every patient entering a clinic can uncover undetected cases. Hypertension treatment has low compliance rates, but incentives like free drug vouchers and counseling can improve uptake.