Pravin J Gupta

..In alternative, I use a procedure of radiofrequency ablation and plication (RAP) of hemorrhoids. The present study compared the two procedures in terms of surgical parameters, postoperative pain and complications...

..He underwent radiofrequency fistulotomy using a Ellman radiofrequency device along with anti-tubercular treatment, which resulted in complete resolution, and healing...

..Treatment comprises of standard regimen of antitubercular medication and a modest surgical approach towards the sinuses...

..However, all the options should be presented to the patient with complete information about the method, cure rates, complications, and reversibility of the complications and the final choice should be left in his hands...

..A defunctioning colostomy and debridement of wounds was performed. However, the patient died 3 weeks after...

..The treatment consisted of manual removal of the larvae by topical application of turpentine oil, oral therapy with antibiotics and surgical excision of the ulcerative growth...

..The surgical approach to pilonidal sinus disease is open to debate. This prospective, randomized study was aimed to compare the outcome of the excision and marsupialization and the sinus excision technique by radiofrequency...

..Because of the varied opinions regarding the fate of leukoplakia of the anal canal, patients should be followed carefully to detect any malignant transformation of the lesion...

..Though rare to be found at the age of ten years without any obvious etiology, hemorrhoids should be considered as one of the causes of bleeding per rectum in children...

..The present study was conducted to determine the usefulness of suture ligation in third-degree hemorrhoids and to compare it with author's procedure of suture ligation coupled with hemorrhoidal ablation through radiowave...

..The concomitant pathologies like sentinel piles, anal papillae, or haemorrhoids, however, are often ignored for unknown reasons...

..During this procedure the tissue is coagulated by infrared radiation. For treatment, mechanical pressure and radiation energy are applied simultaneously to ablate the blood supply to the hemorrhoidal mass...

..They range from a conservative treatment to an extensive surgical excision. However, a method of lying open sinuses is still practiced in many parts of the world due to its simplicity and favourable outcome...

..As an effective alternative to this, in situ radio-frequency ablation of the pile mass has been found to be quite efficacious with many added advantages over the conventional hemorrhoidectomy procedures in practice...

..In this randomized study, a comparison is made between conventional fistulotomy and fistulotomy performed by a radio frequency device...

..The author reports his experience in the surgical management of pilonidal sinus using radiofrequency sinus excision technique. The results are compared with those obtained after excision and marsupialization procedure...

..Drug treatment for various ano-rectal conditions has been known since ancient times. Suppositories are one of the very feasible modes of administration for medication...

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..Sucralfate is a cytoprotective agent which adheres to mucoproteins and forms a protective barrier at wound sites. In oral form it is a common ulcer medication, and as a topical preparation it has been used to treat a wide variety of wounds...

..To explore the effect of the classical lay open technique or fistulotomy with the radio frequency surgical device in the treatment of fistula in anus...

..Radiofrequency ablation is emerging as a new therapeutic method in various fields of medicine. This study describes procedure of radiofrequency ablation followed by plication of hemorrhoidal mass in advanced grades of hemorrhoids...

..The modification resulted in reduced hospital stay, less postoperative pain, early resumption to work and a reduced recurrence rate. The technique and results are described and discussed...

..As infrared coagulation can be conveniently repeated in case of recurrence, it could be considered to be a suitable alternative office procedure for the treatment of early stage hemorrhoids...

..This pilot study was performed to assess the effectiveness of this molecule in early grades of symptomatic hemorrhoids...

..It is associated with significantly less postoperative pain, shorter hospital stay and early return to normal activity. It can be considered as an alternative to conventional hemorrhoidectomy...

..The author proposes a technique of radiowave ablation and mucopexy of hemorrhoids for patients having symptomatic and prolapsing hemorrhoids and enumerates the events in such patients over 10 years...

..The present prospective study was aimed at determining whether removal of hypertrophied anal papillae and fibrous anal polyps while dealing with chronic fissure in ano confers long-term benefit to patients...

..This study analyzes the procedure and outcome of radiofrequency fistulotomy over the conventional scalpel method...

..This paper describes presentation symptoms, approach towards diagnosis, and various therapeutic modalities of common anal disorders commonly seen in a developing country...

..To evaluate the results of proctological surgeries carried out by us on an outpatient basis. Design: Retrospective study. Subject: 3256 patients with benign ano-rectal pathologies needing surgical intervention...

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..Evaluation of outcome of pilonidal sinus excision using a radiofrequency device and comparing its results with excision and open granulation procedure...

..Coagulation of hemorrhoids using a radio-frequency device is a new therapy to be added to the list...

..This report describes the author's approach of 'sphincterolysis' or fragmentation of the fibers of the internal sphincter on the left lateral anal wall...

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..The author proposes another technique called radiofrequency ablation and fixation of hemorrhoids to add to this list...

..A novel technique of hemorrhoidal ablation by radiofrequency is described, which is followed by suture fixation of the hemorrhoidal mass...

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..This article describes the practice of quackery in ano-rectal diseases, their presentations and the complications arising out of such procedures...

..But the experience is that they tend to produce minor but disturbing symptoms. This study is aimed to assay the impact and utility of attending these two conditions concurrently while dealing with cases of fissure in ano...

..This method as compared with the classical fistulectomy is rapid with minimal blood loss and good healing. Return to work was in 3 - 5 days and recurrence rate was 1.5%...

..The aim of the present study was to determine whether sitz bath does have any therapeutic properties improving upon a patient's postoperative symptoms after a closed lateral sphincterotomy...

..This randomized study is aimed to compare radiofrequency coagulation and rubber band ligation of hemorrhoids on the parameters of effectiveness and comfort...

..Radiofrequency fistulotomy method was effective with easy tissue excision and minimum bleeding. It permitted use in deep and difficult areas like the adjoining tracts. The failure rate was 3.7%...

..While acute fissures could be managed with medical therapy alone, chronic fissures do need some form of manipulation to relieve internal sphincter spasm...

..Radiofrequency coagulation was found to be more effective than infrared coagulation in terms of recurrence of bleeding, asymptomatic recurrences of hemorrhoids, and overall satisfaction of technique...

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..Fissure abscess, post-fissure fistula, and post-fissure antibioma are but a few of them. These pathologies increase the complications and morbidity of the primary lesion and need a comprehensive approach...

..Despite a plethora of techniques in vogue, an ideal management of this condition continues to be a subject of debate...

..This study was aimed to determine if consumption of chilies increases symptoms of acute anal fissures...

..for advance grades of symptomatic hemorrhoids (grade III and IV) the author has innovated a procedure called radiofrequency ablation and fixation of hemorrhoids. The procedure is performed as a day care surgery...

..These patients reqire special approach and are not seen every day in proctological ambulances, what rises many questions in the appropriatenes of standard treatments...

..The study is aimed at ascertaining if this procedure provides any advantages over the conventional hemorrhoid surgery...

..However, they do cause a few disturbing symptoms. This study describes the advantages of the removal of such pathologies associated with chronic anal fissure...

..The aim of this study was to determine the influence of sitz bath with regards to pain scores, analgesic requirements and patient satisfaction ratings after haemorrhoidectomy...

..This study shows that consumption of 3 g of red chilies per day during the postoperative period after hemorrhoidectomy increases the intensity of typical postoperative symptoms, stool frequency, and the consumption of analgesics...

..This procedure accomplishes hemorrhoidal symptom relief with far less post-operative pain and other complications as compared to various other types of hemorrhoidectomies...

..In this procedure, the hemorrhoidal tissue is coagulated by means of high-frequency radio wave. The author has described his own experience with this new technique...

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..Radiofrequency fistulotomy method was effective with easy tissue excision and minimum bleeding. It permitted to be used in deep and difficult areas like the adjoining tracts. The failure rate was 3.7%. (Ref. 5.)..

..The author describes a technique of closed manipulation of the fibers of the internal anal sphincter to relieve anal spasm in patients with chronic anal fissures...

..CONCLUSION: This combined approach has been found to be an effective, easy and quick way of treating chronic fissure in ano with associated pathologies..

..The author describes a modification of Thiersch's procedure in patients with complete rectal prolapse by inducing fibrosis at the anal verge through circumferential subanodermal coagulation using a radiofrequency device...

..The results of this technique are compared with the conventional ligature and excision procedure (LEP)...

..This prospective study evaluates the clinical and functional outcome in a group of patients with chronic anal fissures...

..This study was aimed to determine whether there was any relationship between consumption of chillies and postoperative symptoms after closed anal sphincterotomy in patients with chronic anal fissure...

..The aim of this paper was to analyze the results of treatment of anal fistulas using a radiowave device retrospectively...

..Radiofrequency coagulation is a new approach for treating grade I and II hemorrhoids. In this procedure, the hemorrhoidal tissue is coagulated by a high frequency radio wave. The author describes his experience using this new technique...

..An apparatus that generates ultra-high frequency current waveform [radiofrequency] has emerged as a new tool to deal with many of the common ano rectal conditions...

..This brief treatise explores the different etiopathogenic, clinical, and diagnostic manifestations of ano-perianal tuberculosis (Tab. 4, Ref. 40)...

..From this review one can presume that the primary care provider can effectively relieve most patients' symptoms and who also ensure that more significant bowel disease is not overlooked (Tab. 3, Ref. 17)...

..The present study was aimed to demonstrate that hypertrophied anal papillae and fibrous anal polyps could cause symptoms to the patients and that they should be removed in treatment of patients with chronic fissure in anus...

..Red-hot chili pepper and other spices have been blamed for causing or exacerbating symptoms of anal pathologies like anal fissure and hemorrhoids...

..The effectiveness of the traditional conservative method of treatment could be gainfully supplemented by use of the pharmaceutical preparation suggested in this study...

..The procedures take less operative time, the postoperative recovery is accelerated and the incidences of complications are negligible...

..Conservative treatment of anal fisures are reserved for acute forms. Many different treatments are available for chronic anal fissures, which offer different responses and risks for complications...

..It is also difficult to distinguish it from other granulomatous diseases involving the same area...