1.MCDPA

An innovation of Dr Pawar himself, this is a conservative approach intended to halt and reverse the early disease without any surgical intervention:

• • Medication – Creams ( Anoac ) and stool softeners are used.Constac – A herbal preparation formulated by Ayurvedic doctors.

• • Diet – Counselling by qualified nutritionist to correct any imbalances in diet and chart a diet conducive to healthy bowel habits.

• • Physiotherapy – Pelvic floor physiotherapy helps to strengthen muscles in the region.

• • Ayurveda therapy – This includes about 6 sessions of enema with medicated herbal oils.

II. LASER HAEMORRHOIDOPLASTY ( LHP ) aka Laser treatment for Piles

Laser Haemorrhoidoplasty is the preferred treatment for Grade 2 and early stages of Grade 3 Piles. This procedure is done under spinal or short general anaesthesia and takes about 20 minutes. Through the natural anal opening, laser energy is applied using a special radially emitting fibre. The controlled emission of laser energy causes vaporization leading the haemorrhoidal mass to shrink

Advantages of LHP

• • No cuts, no open wounds

• • Less post-operative pain as compared to other procedures

• • Healing is excellent as there are no cuts or stitches

• • No sense of urgency ( need to rush to the toilet ) after the procedure

• • No risk of rectal stenosis

• • Patient can return to normal activities within a shorter space of time

Potential drawbacks of LHP

• • Burning sensation

• • External skin tag thrombosis

III. MIPH ( Minimally Invasive Procedure for Hemorrhoids ) aka PPH ( Procedure for Prolapse and Hemorrhoids ) aka Stapler Haemorrhoidopexy

What is MIPH / PPH?

It is a procedure that was originally conceived in 1994 by Dr Antonio Longo, and has since gained popularity as the treatment of choice for Grade 3 and Grade 4 prolapsed Piles.
The procedure is usually done under short general anaesthesia and takes around 25-30 minutes. Using the circular stapler, the mucosa which is responsible for the the prolapse of Hemorrhoids is circumferentially excised and the prolapsed Hemorrhoids are pulled up back to their normal position