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Dr. Ashwin Porwal's Profile
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PILES… A Lifestyle Disease
PILES (clinically known as Haemorrhoids) basically, is the swelling of blood vessels near the anal opening. The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. We understand that piles may not be a subject you feel comfortable talking about, but there is no need to suffer in silence.
Grades of Piles….
1) Symptoms are mild pain, itching sensation, heaviness where patient can be cured with medicine and diet and Healing Hands Innovative Ayurvedic Therapy.

2) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which reduces automatically after motion. This may require surgical intervention.

3) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which may require finger reduction after motion. This requires surgical intervention.

4) Symptoms worsen and the prolapse is irreducible. This requires surgical intervention.


NOTE : Only 30% of patients suffering from Piles will have bleeding, rest of the patients will have either burning, itching or constipation.

No Piles… Only Smiles..!

Innovative treatment for Piles : STAPLER Surgery

Procedure : It is a minimally invasive painless procedure that reduces the prolapsed HAEMORRHOIDAL (PILES) tissue. A unique stapling technique that is used to push the swollen blood vessels back into their normal position.

Preparation : Requires patient to take nothing by mouth about 4 hrs prior to the surgery.

Surgery : The surgery takes only about 20 to 30 minutes. It is usually done under spinal anesthesia. It is done
through a natural opening (anus), with the help of a use and throw device known as Stapler. In this surgery as there are no cuts and no stitches outside so there is no need of dressing.

Post Operative Care (after surgery care) : Patient can have full diet 4 hrs post surgery. He/she can
walk around just after 5–6 hrs of the surgery. Patient can be discharged within a span of 24 hrs. On discharge antibiotics and painkiller for7 to 10 days are advised.

Recovery : Patient normally gets discharged from the hospital within 24 hrs. The recovery period is relatively very short. Patient can resume daily routine after discharge and join work after 3 days.

NOTE : Stapler Surgery is done with any external cuts, so loss of control post surgery is a myth.

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PILES… A Lifestyle Disease
PILES (clinically known as Haemorrhoids) basically, is the swelling of blood vessels near the anal opening. The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. We understand that piles may not be a subject you feel comfortable talking about, but there is no need to suffer in silence.
Grades of Piles….
1) Symptoms are mild pain, itching sensation, heaviness where patient can be cured with medicine and diet and Healing Hands Innovative Ayurvedic Therapy.

2) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which reduces automatically after motion. This may require surgical intervention.

3) Symptoms are painful defecation, recurrent bleeding, itching sensation, burning sensation, dragging sensation, and feeling of prolapse which may require finger reduction after motion. This requires surgical intervention.

4) Symptoms worsen and the prolapse is irreducible. This requires surgical intervention.


NOTE : Only 30% of patients suffering from Piles will have bleeding, rest of the patients will have either burning, itching or constipation.

No Piles… Only Smiles..!

Innovative treatment for Piles : STAPLER Surgery

Procedure : It is a minimally invasive painless procedure that reduces the prolapsed HAEMORRHOIDAL (PILES) tissue. A unique stapling technique that is used to push the swollen blood vessels back into their normal position.

Preparation : Requires patient to take nothing by mouth about 4 hrs prior to the surgery.

Surgery : The surgery takes only about 20 to 30 minutes. It is usually done under spinal anesthesia. It is done
through a natural opening (anus), with the help of a use and throw device known as Stapler. In this surgery as there are no cuts and no stitches outside so there is no need of dressing.

Post Operative Care (after surgery care) : Patient can have full diet 4 hrs post surgery. He/she can
walk around just after 5–6 hrs of the surgery. Patient can be discharged within a span of 24 hrs. On discharge antibiotics and painkiller for7 to 10 days are advised.

Recovery : Patient normally gets discharged from the hospital within 24 hrs. The recovery period is relatively very short. Patient can resume daily routine after discharge and join work after 3 days.

NOTE : Stapler Surgery is done with any external cuts, so loss of control post surgery is a myth.

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Piles Treatment in Pune
Piles is a embarrassing, problematic and a cause of major inconvenience. Hence, symptomatic care usually proves to be futile.It is important that the cure be absolute and the relief complete. This is possible via holistic and customized care involving a combination of dietary, medicinal and surgical management.

The chosen treatment modality is dictated by the severity and grading of the condition.

Grade I (marked by mild pain and itching sensation) and most cases of Grade II Piles (marked by symptoms of Grade I and recurrent bleeding) can be managed with dietary manipulation and medicines alone. Within Pune, the Healing Hands clinic and its clinical team under the leadership of Dr Ashwin Porwal has come to establish itself as the pioneer centre for care and cure of Piles and other ano-rectal diseases. HHC, Piles clinic in Pune offers one a choice to select from varied streams of medicine (Allopathy/ Homeopathy/ Aryurveda). Moreover, the in-house pharmacists prepare the management plan depending on one’s preference and individual history.

Our dedicated team of dieticians takes care of the daily dietary plans for patients to facilitate the medicinal management.

Surgical options are recommended only if Grade II piles have persisted for more than4 months or in cases of higher grades of piles where prolapse is irreducible.

HHC is also the only centre in Pune that provides piles treatment via the recommended Stapler Surgery which is a minimally invasive procedure that reduces the prolapsed Haemorrhoidal (piles) tissue.

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Hernia surgeon in Pune
A Hernia is a sac formation due to weakness or tear in abdominal muscles. A Hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Any activity that increases intra-abdominal pressure can worsen a hernia; examples of such activities are-lifting weights, coughing, or even straining to have a bowel movement.

Types of Hernia include:
• Inguinal Hernia
• Incisional Hernia
• Femoral Hernia
• Umbilical Hernia
• Epigastric Hernia

Healing Hands Clinic (HHC) is a well known Hernia Clinic in Pune that provides Hernia management via 3D mesh repair. 3D mesh repair can be done under local anaesthesia also and a minimal number of stitches are needed to secure the underlay patch mesh. This procedure has lower recurrence rate compare to other available options.

Hernia management at HHC is led by our founder Dr Ashwin Porwal who holds a Diploma in Laparoscopic Surgery from EITS – IRCAD, Strasbourg University, France and has also trained inProctology under world renowned Colo-Procto Surgeon Dr. Antonio Longo at St. Elizabeth Hospital, Austria.

He is also certified in Advanced Laparoscopy, Bariatric Surgery from Genoa Medical School, Italy and Wound Management from Madeleine Flangan University of Hertfordshire, U.K.

Since setting up the Healing Hands Clinic, he has extensive experience in hernia repair and has established himself as Hernia Doctor in Pune as well as across the India. He has achieved a significant milestone of successfully treating maximum number of Hernia patients.

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Treatment of Fissure in Pune
Fissure is often confused with piles, and people do not go to doctor for hesitation and shyness. Though the treatment of fissure is simple and does not require hefty spending, due to ignorance of patients and delaying of proper medical intervention, the condition at times becomes critical.

In India, there are many hospitals and clinics which provide treatment services for fissures, fistula and piles. These three diseases are often considered as piles only by patients due to mere ignorance.One can easily find clinics or hospitals who attend to these ailments in any city of the country. Pune, being a hub to fast growing cosmopolitan population, has many such healthcare providers who can provide effective and reliable treatment services. One can easily find healthcare facilities suiting to their budget, if they research about various hospitals and their services.

What is it – Fissure or Fistula or Pile

Before you decide to look for a clinic, you must know what you are looking for or suffering from. Though, it is always better to consult a Proctologist for any advice, the simple description of the three ailments will help you clear confusions,if any, and also come out of shyness and fears of suffering from piles.

Fissure:A small cut at anal margin with skin tags that lead to painful bleeding. The disease is categorized by: Moderate bleeding, severe pain, and low discharge.

Fistula:A smallopening is formed near to the anus from where discharge keeps flowing. The disease is categorized by: Low Bleeding, moderate pain, and heavy discharge.

Piles:Swelling of blood vessels in anal canal, which lead to excessive bleeding. The disease is categorized by: Intense bleeding, low or severe pain, and low or severe discharge.

The symptoms given above can vary depending upon severity of ailment too.Most of the clinics or hospitals commonly provide treatment for all the three ailments.

Fissure treatment in Pune

In Pune, there are many hospitals and clinics which provide treatment for fissures, fistula and piles. Common treatments provided for fissures are:

Conservative approach



Non constipating diet
Topical creams
Vasodilators (Nitric oxide donors) application

For complex fissures

Surgery is the best approach for treating complicated fissures. Various options available are:



Anal sphincter stretching
Anal fissure excision (Fissurectomy)
Sphincterotomy – Done in two ways: Surgery under anesthesia (laser surgery is the new development in the field)or pharmacological way as explained before

About Author:
Dr. Ashwin Porwal, founder of Healing Hands Clinic introduces you to a new world which assures relief from Constipation, Piles, Hernia, Fistula and other anorectal diseases. For more details visit : http://www.healinghandsclinic.co.in/

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