1. A new dimension in proctology care
Painless Proctology
A new dimension in proctology care
Dr Rusy Bhalla M.S.

2. Current proctology
Piles
Fistula

3. Piles A curse! Is the treatment worse?

4. Formation of Piles
Piles

5. Causes Of Painful Proctology

6. Current Piles management
Cutting of tissues at anal canal
Exposing of Anal sphincter
Blood loss
Use of cautery

7. Normal Piles Surgery appearence

8. 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

9. Result of Routine Piles surgery

10. 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

11. 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

12. Routine fistulectomy
Fistula opening

13. Causes of painful Fistulectomy

14. Routine Post Fistulectomy Surgery

15. 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

16. Partial Anal stenosis Development

17. Painless Fistulectomy

18. 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

19. 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