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Open Lateral Internal Sphincterotomy

17 Aug


—Dr. Dayanand I. Nooli:
—Dr. Kalpana D. Nooli
—Dr. Rajendra M. Dixit

New Frontiers In Management Of Hemorrhoids

26 Apr

Hemorrhoids, or piles, is one of the most common and nagging disorders. By themselves, though hemorrhoids are rarely serious, they can be extremely troublesome. But in some instances, they may mask a more serious disorder, such as colon or rectal cancer.

Hemorrhoids are a dilated or enlarged vascular clusters which occur in and around the anus and the rectum. They may be external i.e outside the anus or internal and slip to the outside.

But, the latest in Biomedical engineering has replaced the conventional and cumbersome operative treatments by offering easy and effective methods for treatment of Piles without much discomfort, prolonged hospitalisation and anaesthesia.

Infrared Coagulation : Among the best available non-invasive modalities for treatment of hemorrhods is the Infrared coagulator. It’s basic principle lies in coagulation of the hemorrhoidal vessels with the help of Infrared Rays. It is a State-of-the-art, user-friendly technology and takes only seconds to perform. There is less pain, fewer complications than a rubber band ligation.


  1. A simple and easy procedure, it is optimized for adjunctive use in Hemorrhoidal Artery Ligation (H.A.L.).
  2. It is a precise, rapid localization of hemorrhoidal arteries for ligation.
  3. It is suitable for use during outpatient surgery for Goligher Degree I to IV, and prevents prolapse by anchoring the mucosa to the muscularis.
  4. It is especially good for bleeding hemorrhoids.
  5. There is minimal to no medication or anesthesia required and one can be back to work on same-day or next day., DGUHAL,

Before Surgery                              After DGUHAL Surgery                3 Weeks After Surgery

Radiofrequncy Ablation : The principle of Radiosurgery involves using radio waves at 5.0 to 6.0 mhz , delivered at low temperature through radiofrequency electrodes. This procedure can be done under local, regional or short general anesthesia. There is no postoperative stay required and the patient can resume work the next morning. It has an easy learning curve and can be performed as an outpatient procedure

PREVENTION : Although there is no guaranteed way to prevent piles, it’s a good idea to avoid the causes.

  1. A major cause of piles may be constipation, which is often simply treated with a high fibre diet and water.
  2. This diet may help to soften the stool, allowing it to pass through the back passage more easily.
  3. Softer stool means reduced strain on the delicate tissue and blood vessels of the bowel.
  4. Water is essential, and is especially important in helping to prevent constipation. It is recommended that adults drink 6-8 glasses, totalling 2 litres, of water per day. It may also be helpful to limit caffeinated drinks and alcohol.
  5. Regular fibre in diet, A healthy diet may consist of 30 grams of fibre per day, which may include 5 servings of fresh fruits and vegetables.
  6. Increase your amount of daily physical activity.
  7. Lose weight.
  8. Change bowel habits. Respond to the urge to defecate and stay relaxed to avoid straining.
  9. Exercise the buttocks muscles.
  10. Practice good personal hygiene. Keep the anal area clean and avoid using rough toilet paper.
  11. Add stool softeners or laxatives to diet.[Consult your Doctor for prolonged use]




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