Piles ( Mulvyadh / Bavasir ), clinically known as Haemorrhoids, is the swelling of the blood vessels near the anal opening. An increased pressure on these blood vessels due to any reason, causes them to enlarge and swell, thus forming lumps which are occasionally felt at the anal opening.

Treatment of Piles

- John Ardene

( 1307-1392 ) 'The common people call them piles, the aristocracy call them haemorrhoids, the French call them figs - what does it matter so long as you can cure them?'

We understand that Piles ( Mulvyadh / Bavasir ) may not be a subject you feel comfortable talking about, but there is no need to suffer in silence. If you have piles, you are not alone. It is estimated that piles will affect at least 50% population at some point during their lives, that makes it one in two of us! Contact now to get Piles cured fast, by an experienced surgeon in Pune using advanced laser treatment, and for treatment without any cut and stitches.

Why opt for Healing Hands Clinic to root out those Haemorrhoids?





Till date more than 50,000 patients have been satisfactorily treated for their Piles at Healing Hands Clinic. Maximum number of



The regular MIPH/PPH surgery, clearly the most popular technique worldwide,nevertheless has a recurrence rate of 8%. Dr Porwal, with his immense experience, has modified the procedure by adding Horizontal Mucopexy to it which brings down the bleeding and recurrence rate to <1%. In November 2013, he presented a Research paper on this,'Stapler haemorrhoidopexy alone vs Stapler haemorrhoidopexy plus Mucopexy for Grade 3 Internal Haemorrhoids' at the 3rd Biennial ECTA Conference,Singapore. Dr Ashwin Porwal , founder surgeon of Healing Hands Clinic ( HHC ) and a dedicated Proctologist, had the privilege of receiving training in Proctology from the world-renowned Colorectal surgeon, Dr Antonio Longo of Italy. Dr Longo invented the MIPH/PPH ( Stapler surgery ) for Piles and Dr Porwal has received hands-on training from the master himself.Till date more than 50,000 patients have been satisfactorily treated for their Piles at Healing Hands Clinic. Maximum number of Stapler surgeries in Asia has been performed at all the centres of HHC. We brought Leonardo Laser for Piles in India and the country’s first Laser Haemorrhoidoplasty ( LHP ) was performed at HHC. Today, the clinic treats more patients with LHP than any other centre in the world. We have trained many fellow surgeons from across the globe in the Stapler and Laser procedures.The regular MIPH/PPH surgery, clearly the most popular technique worldwide,nevertheless has a recurrence rate of 8%. Dr Porwal, with his immense experience, has modified the procedure by adding Horizontal Mucopexy to it which brings down the bleeding and recurrence rate to <1%. In November 2013, he presented a Research paper on this,'Stapler haemorrhoidopexy alone vs Stapler haemorrhoidopexy plus Mucopexy for Grade 3 Internal Haemorrhoids' at the 3rd Biennial ECTA Conference,Singapore. Patient Testimonials

The regular MIPH/PPH surgery, clearly the most popular technique worldwide,nevertheless has a recurrence rate of 8%. Dr Porwal, with his immense experience, has modified the procedure by adding Horizontal Mucopexy to it which brings down the bleeding and recurrence rate to <1%. In November 2013, he presented a Research paper on this,'Stapler haemorrhoidopexy alone vs Stapler haemorrhoidopexy plus Mucopexy for Grade 3 Internal Haemorrhoids' at the 3rd Biennial ECTA Conference,Singapore.



Dr Porwal was selected among international speakers at World Congress of Coloproctology-2011, Rome, where he presented a Study Paper on 'Piles and Constipation in Indian Scenario'. He has also presented a Paper at ESCP Conference-2014, Barcelona, on 'Stapler Haemorrhoidopexy - Successful results from a case series of 3000 patients treated at a single centre in India.' Healing hands clinic is a certified centre of excellence for piles treatment in India providing piles care in Pune, Mumbai, Bengaluru, Nashik and Thane. Each of the clinics have Internationally recognised surgeons and state of the art facilities to provide holistic treatment for Piles cure. GRADE WISE TREATMENT APPROACH AT HEALING HANDS CLINIC



LEARN MORE ABOUT YOUR TREATMENT I. MCDPA

An innovation of Dr Porwal 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 at Healing Hands & Herbs.

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 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 Haemorrhoids ) aka PPH ( Procedure for Prolapse and Haemorrhoids ) 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 Haemorrhoids is circumferentially excised and the prolapsed Haemorrhoids are pulled up back to their normal position.