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    Inaugural program of “Vidhan Soudha Guided Walking Tour” on May 25.

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    Fernando Bucheli, Ambassador of the Republic of Ecuador, met Chief Secretary.GoK

    FCA bans former Credit Suisse vice president following US criminal conviction

    “By uniting our talent and expertise, we can drive progress toward a more climate-resilient and healthier future.” -Dr M.C. Sudhakar,  Minister for Higher Education, GoK.

    World Health Assembly adopts historic Pandemic Agreement to make the world more equitable and safer from future pandemics

    Philips Future Health Index 2025: AI poised to transform global healthcare, urging leaders to act now

    WHO warns of slowing global health gains in new statistics report

  • National
    • All
    • Economy & Politics
    • Election

    India to the International Grid: UMA Bootcamp 2025 Opens Applications for Global Track Training

    Governor Thaawarchand Gehlot Inaugurates ‘Centre for Future Skills’ at Karnataka State Open University

    Governor Presents “Atithya Rathna” and “Udyama Rathna” Awards at Karnataka State Hotels Association’s 70th Anniversary Celebration

    Students aspiring to pursue education in the academic year 2025–26 are encouraged to enroll in BBMP schools/colleges and make the best use of the facilities provided by BBMP: Suralkar Vikas Kishor

    Scientific leaders honored by 3M and Discovery Education

    UMA Bootcamp 2025 Opens Applications for India’s Brightest Motorsport Engineers

  • Business

    Cambridge announces results of its largest ever March series held in India

    Blue Dart Express Limited Clocks ₹ 5,720 Cr Revenue for FY25, Maintains Steady Q4 Momentum

    Reliance General Insurance delivers PAT up YoY by 12.5% at INR 315 cr, Gross Direct Premium of ₹12,548 crore – up 7.4% YoY, outpacing industry growth of 5.2%

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    Bisleri Excites Consumers with “Mission Impossible – The Final Reckoning” Limited Edition Pack

    Philips Future Health Index 2025: AI poised to transform global healthcare, urging leaders to act now

    GSK TO ACQUIRE EFIMOSFERMIN.

    Safer walking and cycling crucial for road safety and better health

    Health inequities are shortening lives by decades

  • Technology
    • All
    • Environment
    • Science

    Inaugural program of “Vidhan Soudha Guided Walking Tour” on May 25.

    LTIMindtree Signs MoU with IIM Mumbai to Launch Postgraduate Program for Executives in AI-led Experience Design

    “By uniting our talent and expertise, we can drive progress toward a more climate-resilient and healthier future.” -Dr M.C. Sudhakar,  Minister for Higher Education, GoK.

    8th Edition of TECHgium® Showcases Engineering Excellence and Bold Innovations

    Union Minister Shri Ashwini Vaishnaw Unveils India’s First 3nm Chip Design Centres in Noida and Bengaluru

    “Modern warfare is entirely technology driven and India’s supremacy stands proven over the last four days”, says Dr Jitendra Singh

  • Auto

    Tata Motors registered total sales of 70,187 units in May 2025

    Tata Motors advances Egypt’s Mobility Landscape; Launches Wide Range of Commercial Vehicles in Partnership with MTI

    Volvo Cars and Google expand partnership with Gemini integration and accelerated automotive innovation

    Honda Motorcycle & Scooter India Launches All-New “X-ADV”

  • Sports

    “We’re not just playing cricket; we’re scouting the next Kapil Dev, Sachin Tendulkar, or Virat Kohli from every gali and mohalla,” Raman Gandhi, Founder/Chairman of GMCL.

    India to the International Grid: UMA Bootcamp 2025 Opens Applications for Global Track Training

    BCCI announces fixtures for Australia Women’s, Australia Men’s A and South Africa Men’s A team tours of India

    Inaugural program of “Vidhan Soudha Guided Walking Tour” on May 25.

  • Entertainment

    ‘Waves’ an OTT platform that offers clean family-friendly content: Sunil Bhatiya, Deputy Director General, Doordarshan Kendra, Panaji

    Sri Sai Gold Palace’s 7th store inaugurated in Malleshwaram,Bengaluru.

    Lulu Mall Hosts Bangalore’s Biggest Non-Alcoholic Holi Celebration

    Karmic Beauty’: Pure by Nature, Potent by Ingredients

    An Iconic Culinary Affair: Le Cirque Arrives at The Leela Hyderabad

    “Whether it’s for MICE, a dream wedding, or a family vacation, Malaysia has something for everyone.”-Mr. Hishamuddin Mustafa,Director of Tourism Malaysia Chennai.

  • Lifestyle
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    Max Fashion’s 9th Disney Collaboration Launches with a Lilo & Stitch-Themed Kids Festival, Featuring Neha Dhupia in a Playful Style Celebration

    FOR THE FIRST TIME, A THREE-DAY ORGANIC MANGO AND JACKFRUIT FAIR IS BEING ORGANIZED AT LALBAGH – DIRECTOR RAMESH

    Bisleri Excites Consumers with “Mission Impossible – The Final Reckoning” Limited Edition Pack

    Philips Future Health Index 2025: AI poised to transform global healthcare, urging leaders to act now

    GSK TO ACQUIRE EFIMOSFERMIN.

    No Limits, No Rules: Tata CLiQ Fashion, Tata CLiQ Luxury, and Tata CLiQ Palette announce The Big CLiQ Sale

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Piles: Emerging treatments and evolution of LASER Surgery

by FWM
June 22, 2023
in Health
0

Dr. Mayank Jain MS,DNB,FNB(MAS),FRCS,FACS Chief Surgeon Laparoscopic & Minimal Access Surgery Department Synergy Plus Hospital, Agra

Agra (India), June 19: Piles refer to the swollen and inflamed blood vessels located in the rectum and anus. It is caused by increased pressure on the veins in the lower rectum and anal region due to prolonged sitting or standing, chronic constipation, obesity, pregnancy, and straining during bowel movements.

The global disease burden of piles, also known as hemorrhoids, is significant and affecting a large portion of the population worldwide. While specific data on the prevalence of piles can vary across countries and regions, studies indicate that it impacts millions of individuals globally. Approximately 4.4% of the general population worldwide has symptomatic hemorrhoids. However, this percentage may be higher when considering undiagnosed or asymptomatic cases. Piles can occur in people of all ages, but they are more prevalent in adults, particularly those between the ages of 45 and 65. The condition is slightly more common in men than women. The overall disease burden of piles is influenced by several factors, including lifestyle habits, dietary patterns, and genetic predisposition.

The disease leads to various health complications and significantly impact individuals’ quality of life. Common symptoms include chronic pain, bleeding, itching, irritation in anal area, and difficulty in performing daily activities, including sitting and walking. In addition it can also have psychological effects like embarrassment, anxiety, and decreased self-confidence of an individual leading to social and emotional distress. The economic burden of piles is also noteworthy. The condition often requires medical consultations, diagnostic tests, and individuals may incur costs related to medications, surgical procedures, and follow-up care. Moreover, piles can lead to decreased work productivity, absenteeism, and impaired daily functioning, resulting in indirect costs to individuals and society as a whole.

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Diagnosis is typically based on medical history, symptoms and digital rectal examination. Anoscopy / sigmoidoscopy may be performed to rule out other underlying conditions and determine the extent and severity of disease. However, fear of treatment, recurrence and embarrassment often results in delay in seeking consultation and worsening of symptoms

The treatment of piles depends on the severity of the condition and the individual’s overall health. In mild cases, self-care measures and lifestyle changes may suffice. These include increasing fibre intake, staying hydrated, avoiding excessive straining during bowel movements, and practicing good anal hygiene. Over-the-counter creams, ointments, and suppositories can provide temporary relief from itching and discomfort. For more persistent or severe cases, medical interventions may be necessary. These can include non-surgical treatments like rubber band ligation or injection sclerotherapy and surgical treatments like conventional hemorrhoidectomy, MIPH (stapled surgery) or LASER hemorrhoidopexy.

Laser surgery for piles, also known as laser hemorrhoidoplasty has seen advancements and refinements over the years. It was introduced as a minimally invasive alternative to conventional hemorrhoidectomy, which involved the removal of hemorrhoidal tissue using a scalpel. It involves using focused laser energy to coagulate and shrink the hemorrhoidal tissue, which reduces the blood supply to the hemorrhoids. The laser also seals the blood vessels, minimizing bleeding during and after the procedure. Over time, advances in laser technology led to the development of more precise and efficient lasers for surgical procedures. Currently, diode LASERS have been used for laser hemorrhoidoplasty.

Laser surgery for piles offers several potential advantages, including reduced post-operative pain, decreased bleeding, minimal tissue damage, shorter hospital stays, and faster recovery times. Laser hemorrhoidoplasty is generally considered a less painful option with a quicker recovery compared to traditional surgery. Additionally, it may be associated with fewer complications and a lower risk of recurrence compared to conventional surgery in some cases. As medical technology continues to advance, there may be ongoing refinements in laser surgical techniques for piles. These refinements could involve improvements in laser devices, surgical methods, and patient selection criteria.

It’s important to note that the specific approach and techniques used in laser surgery for piles may vary depending on the surgeon, the patient’s condition, and advancements in medical technology. Consulting with a qualified healthcare professional will provide the most up-to-date and accurate information regarding laser surgery for piles.

To conclude, the global disease burden of piles is significant. The condition can have physical, psychological, and economic implications for individuals and society. Raising awareness about the condition, promoting preventive measures, and providing accessible and effective treatment options may be necessary to reduce global disease burden. Encouraging healthy lifestyle practices, including maintaining a high-fibre diet, drinking adequate amount of water, regular exercise, and proper bowel habits, can help prevent the development or recurrence of piles. Additionally, individuals should refrain from excessive straining during bowel movements and take prompt action if constipation occurs. Timely medical intervention and surgery, when needed, can alleviate symptoms, improve quality of life, and prevent complications.

Dr. Mayank Jain  MS,DNB,FNB(MAS),FRCS,FACS

Chief Surgeon Laparoscopic & Minimal Access Surgery Department Synergy Plus Hospital, Agra

www.drmayank.com

FWM

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