Dr. Ashwin Porwal's Healing Hands Clinic Pune

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Dr. Ashwin Porwal, a renowned Proctosurgeon from India. He Performed the First STARR Surgery in Maharashtra and 1st MRI Defecography test in Pune, which is a diagnostic test for Chronic Constipation. Healing Hands Clinic is a unique and speciality clinic for constipation, Piles, Hernia & prevention of Lifestyle diseases. Apart from its heart of the city location, expert consultation, state of the art technology and well qualified staff are few of its assets. It is the first clinic in the city to deliver facility of Defecography for constipation. Dedication and inner feeling of curing or treating the patients with care have given us many satisfied patients.

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Dr. Ashwin Porwal's Healing Hands Clinic Pune

  1. 1. Curing with Care... PILES CONSTIPATION FISTULA RECTAL PROLAPSE & CANCER HERNIA PILONIDAL SINUS DIGESTIVE DISEASES
  2. 2. The Story of 5000 Stories... Curing with Care... There was one, then a one hundred and then there were 5000 stories of success, of healing, of caring and cure. In fact, just like several other success stories. This journey of 5000 happily treated patients suffering with Piles also has a humble beginning. It all began in 2008 at a Private Hospital in Swargate, Pune when the first patient, Mr Arun More believed in the healing hands of Dr Ashwin Porwal. This was also the birth of the concept of Healing Hands Clinic. It is at this clinic that the stories of smiles have been scripted. Over the years, this journey of Piles to Smiles has come to be dotted with several sweet memories of patients sharing their experiences of doubts dispelled with trust, pain transformed to relief, and tears changed into joy. Today, Healing Hands Clinic is a family of 5000 surgically treated members & more where each member has a success story to share… This is our Story... Moreover, the team at Healing Hands believes that this benchmark is just the beginning of our long term goal of scripting many more stories of smiles… RECTAL CANCER 4999 other patient felt the same An ISO certified clinic scripting more stories of smiles…
  3. 3. Mission & Vision OUR Mission “CURING WITH CARE” with this belief Healing Hands Clinic contributes to the health and well being of patients. Our Vision Innovative and minimally invasive cure for lifestyle diseases every patient educated, cared for and cured of Constipation & Piles. Early diagnosis for prevention and proper treatment of lifestyle diseases in a holistic approach viz. Piles, Constipation, Fistula , Prolapse, Fissure, Pilonidal Sinus, Hernia, Obesity and other Diseases with Medicine, Nutrition & Exercise. Caring for the cared Creating awareness for prevention of lifestyle diseases among parents for their children Caring for the elderly by providing care at the door step Driving Force “We believe in the best and practice the best.” This is achieved at the clinic by taking utmost care of patients and providing them with the best medical and surgical treatment through integrated clinical practices and experience. Member of ECTA (European Colorectal Technology Association)
  4. 4. Curing with Care... Our Founder Dr Ashwin Porwal graduated from B.J. Medical College, Pune and completed DNB in General Surgery from Poona Hospital and Research Center. He has undergone a certified training in Advanced Laparoscopy, Bariatric Surgery from Genoa Medical School, Italy and Wound Management from Madeleine Flangan University of Hertfordshire, U.K. Dr. Porwal also holds a Diploma in Laparoscopic Surgery from EITS – IRCAD, Strasbourg University, France. He has the privilege of having obtained training in Proctology (especially in Constipation & Piles surgery) from the world renowned Colo-Procto Surgeon Dr. Antonio Longo at St. Elizabeth Hospital, Austria. Dr Ashwin Porwal To Dr. Porwal's credit, is the first STARR (Stapled Transanal Rectal Resection) surgery for ODS a form of Chronic Constipation in Maharashtra. He has performed the maximum number of STARR procedures and MIPH (Minimally Invasive Procedure for Hemorrhoids) surgeries for Piles in the state. In 2011, he presented a paper on MIPH and STARR Surgery at the World Congress on Coloproctology in Rome. This year in February, Dr Porwal has achieved a significant milestone of successfully treating more than 2000 Piles patients with the MIPH (Stapler Surgery) procedure & more than 3000 Piles Patients with medicines, which speaks greatly of the care and cure provided by him and his team at Healing Hands Clinic. This milestone is appreciatively dubbed by his team and patients as “5000 Stories of Piles to Smiles” To his name is more than 500+ Starr Surgeries which is highest in ASIA. HOD PROCTOLOGY CLINIC POONA HOSPITAL APOLLO JEHANGIR HOSPITAL INAMDAR HOSPITAL www.storiesofpilestosmiles.org Recently in Feb 2013, He has performed the First Pelvic Organ Prolapse Suspension Surgery (P.O.P.S.) for Pelvic Organ Prolapse in INDIA.
  5. 5. Our Team Dr Paresh Gandhi Consulting Hernia Specialist A culmination of practice and hard work Dr. Paresh Gandhi is a successful General Surgeon who has been performing large number of Three Dimensional Mesh Repair for Hernia in Pune, with expertise in hernia surgery without stitches. Dr Paresh Gandhi graduated from N.D.M.V.P.S Medical College, Nasik and completed post graduation in General Surgery from K.E.M Hospital, Pune and received fellowship in General Surgery from College of Physicians and Surgeons in Mumbai. He has undergone certified training in Wound Management from the Madeleine Flangan University of Herfordshire, U.K and Laparoscopic Hernia at K.E.M Hospital, Pune Dr Gandhi also holds a certified training at Abdominal wall reconstruction and Hernia Repair from the renowned Dr. Eduardo ParraDavila from Florida Hospital, Suite. He is currently performing large number of Three Dimentional mesh repair for hernia in Pune. His speciality is repair of obstructed and recurrent hernia. Mr. Pankaj Jain PRO Contributing to the growing corporate culture at Healing Hands Clinic, Mr. Pankaj acts as a Public relation Officer & administers the growth & expansion of HHC. Dr Anand Ankleshwar Dr Sayali Karanjkar Dr Rhujuta Bhalerao Ms Dhanashree Karmarkar Ms Bulbul Aswani Dr Arpita Varshney Head Healing Hands Herbs Head After Care Team Head Ayurvedic Therapy Head Nutrition & Wellness Centre Clinical Nutritionist Pelvic Floor Physiotherapist An expert in Constipation & Piles, Dr. Anand Heads Herbal treatment for Piles & Constipation constitution for men patients. Dr Anand also for He plays a pivotal role in pre and post-operative patient follow up and after care. An expert in after care, Dr. Sayali i s a C o n s u l t a n t d o c t o r, especially for women patients. She plays a pivotal role in pre and post-operative patient follow up and care. She also performs the innovative MRI Defecography test. Dr. Rhujuta is a consultant for Ayur vedic Therapy in Constipation & Piles. She plays a pivotal role in pre and post-operative patient follow up and care. She also performs MRI Defecography test. Spreading awareness for prevention of Lifestyle Diseases in the corporates, Ms Dhanashree is specialized in counseling patients suffering from Piles, Constipation and O.D.S (Obstructed Defecation Syndrome) & weight loss management. An important member of the nutrition team, Ms Bulbul is an expert in counseling patients post operatively for diet as well as for prevention of lifestyle diseases. The only specialized Pelvic Floor Physiotherapist in state. Her treatment plays important role in medical management of Constipation and smooth recovery after surgery for Constipation & Prolapse. www.healinghandsclinic.co.in
  6. 6. Curing with Care... Our Achievements LIFESTYLE DISEASES 1st STARR SURGERY IN STATE 2000 PAINLESS SURGERY FOR PILES RARE FISTULA 1st TIME IN WORLD www.storiesofpilestosmiles.org
  7. 7. Our Achievements 1st MRI DEFECOGRAPHY IN STATE 1st PELVIC PROLAPSE SURGERY IN INDIA www.healinghandsclinic.co.in
  8. 8. Curing with Care... 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. Constipation Hard Stools Wrong toilet habits Being over weight PILES Lifting heavy loads Family history Pregnancy CAUSES Grades of Piles…. Depending upon swelling & progression Piles present in 4 stages Grade I Symptoms are mild pain, itching sensation, heaviness where patient can be cured with medicine and diet and Healing Hands Innovative Ayurvedic Therapy. Grade II 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. Grade III 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. Grade IV 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.
  9. 9. No Piles… Only Smiles..! Innovative treatment for Piles : STAPLER Surgery BEFORE SURGERY STAPLER SURGERY AFTER 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.
  10. 10. CONSTIPATION Constipation is often one of those topics, very few people like to discuss. It occurs when bowel movements become difficult or less frequent. Constipation is not a disease, but a symptom related to a family of diseases generally classified as 'defecation disorders'. How do you know... ? If you suffer from Chronic Constipation? The following self-assessment can help you determine whether or not you may suffer from chronic constipation. Fewer than three bowel movements in a week. The need to strain at least 25% of the time during bowel movements. A feeling of not being able to complete your bowel movements at least 25% of the time. Hard or lumpy stools at least 25% of the time. If you have experienced at least two of above symptoms for at least three months, you may have chronic constipation. If you have Obstructed Defecation Syndrome (ODS) A type of Chronic Constipation? If you have chronic constipation and also have one or more of the following symptoms at least 25% of the time during bowel movements, you may have ODS: Multiple trips to the bathroom. Prolonged straining. Incomplete elimination, and/or prolonged time to have a bowel movement. Routine use of laxatives or enemas. The need to press around your genitals or anus to have a bowel movement. Note : ODS is a form of Chronic Constipation seen in 5% of population, more common in women.
  11. 11. Lucky STARR for Constipation Treatment Option : Most of the time, chronic constipation can be relieved using a combination of Diet, Exercise, Medication and Pelvic Floor Physiotherapy. If these approaches do not relieve your chronic constipation, you should discuss treatment options with a Proctosurgeon as you may be suffering from a type of Chronic Constipation known as Obstructed Defecation Syndrome (ODS). BEFORE STARR SURGERY Chronic Constipation caused by ODS AFTER STARR SURGERY Bowel movement restored Diagnosis : MRI Defecography is a must. An Advanced Treatment for ODS : STARR SURGERY Relief from Chronic Constipation STARR (Stapled Trans Anal Rectal Resection) is a surgical procedure that is performed through the anus, requires no external cuts and leaves no visible scars. Using 2 surgical staplers, the procedure removes excess tissue in the rectum and reduces the deformities that causes ODS. Patients undergoing STARR are typically hospitalized for 24 Hrs. STARR surgery has a minimal recovery time after leaving the hospital. Note : In a study, 37% of women who met symptomatic criteria for constipation did not regard themselves as constipated. MRI Defecography can diagnose the type of Constipation.
  12. 12. Curing with Care... MRI DEFECOGRAPHY SYSTEMATIC APPROACH TO CONSTIPATION : Defecography (Scanning of evacuation) is a MAGNETIC RESONANCE IMAGING (MRI) study of defecation, a diagnostic test that shows the rectal & anal canal as they change during defecation (having a bowel movement). This test is used to evaluate disorders of the lower bowel that are not evident by tests such as colonoscopy or sigmoidoscopy. Scanning of evacuation WHO MAY HAVE TO GO FOR THIS DIAGNOSTIC TEST Chronic constipation. Incomplete evacuation. Obstruction & straining during defecation. Fingering during defecation. Patient goes number of times for defecation but does not feel complete satisfaction of evacuation. Daily or alternate day hard stools. Patient has only 2 to 3 evacuations in a week and defecation is a long and time consuming process. Rectal Prolapse (something coming out from anus) Pelvic Prolapse (Bladder & Vagina) Preparation & Technique for the Procedure : A jelly paste around 300 to 400 ml is inserted in the anal region of the patient & he is asked to defecate it. All the images during the defecation process are recorded. RECTOCELE RECTO-RECTAL INTUSSUSCEPTION WHERE : This technologically advanced investigation is available at a very few places in India. In Maharashtra it is available in Mumbai & Pune. In Pune it is done only at Fidelity Diagnostics in association with Healing Hands Clinic, located at Inamdar Hospital, Fatima Nagar under the guidance of Proctosurgeon Dr. Ashwin Porwal and his team of trained doctors, staff and an experienced radiologist. For appointments kindly call our Doctors on 88882 88885 / 88882 88886 Note : MRI Defecography takes 30 mins and can be carried out anytime without any bowel preparation.
  13. 13. FISTULA The anorectal Fistula (Fistula in Ano) is an abnormal communication between the anus and perianal skin. Fistula can occur spontaneously or secondary to perianal or perirectal abscess. Symptoms : Causes of FISTULA Infection- Anorectal Abscess (Pus) l Discharge from the boil Pain l near anal region Boils l healing wound at anal region Non l Fever & chills l l Unhygenic condition of anal region l Trauma near anal region l Constipation l Fistula has a track having 2 openings : Internal in the Rectum or Anus & External in the buttocks Diagnosis : MRI Fistulogram Abscess (Pus) TREATMENT FISTULECTOMY The Fistula track is totally taken out by use of Advanced Radiofrequecy Device under strong light source. Very effective for High Fistula. l VAAFT- Video Assisted Anal Fistula Treatment Innovative Technology for selected Fistula cases only LOW l KSHARSUTRA A traditional Ayurvedic Therapy & cutting method. l Intersphincteric Fistula 70% Transsphincteric Fistula 25% Ksharsutra in the Fistula Track High HIGH Low Suprasphincteric Fistula 1% Extrasphincteric Fistula 5% Fistula Note : Healing Hands Clinic has the highest success rate for Fistula Surgery. Recurrent Fistulas, High Complex Fistula & Surgical Fistula are successfully cured at HHC.
  14. 14. Curing with Care... RECTAL PROLAPSE What is it? Rectal prolapse is a condition in which the Rectum (the lower end of the colon, located just above the anus) becomes stretched out and protrudes out of the anus. Symptoms : • Constipation CAUSES : • By Birth • Excessive Straining • Old Age • • • • • Pain Bleeding Mucus Discharge Fecal Incontinence (inability to control bowel movements) Something coming out from anus Diagnosis : • Per Rectal Examination • MRI Defecography TREATMENT : Rectal Prolapse • Surgery is the only Permanent Cure. • Latest Innovative STARR SURGERY is Recommended. • Usually the surgery takes 30 mins. It is performed through natural anal route without any external cuts. • Discharge after 24 hrs, can join office from 5th or 7th day. After Care : Before After STARR Surgery Pelvic Floor Physiotherapy is recommended for 3 to 6 month. Note : Pelvic Floor Physiotherapy is a must after Rectal Prolapse Surgery to strengthen the Pelvic Floor.
  15. 15. 1st PELVIC ORGAN PROLAPSE P.O.P.S. SURGERY Pelvic Organ Prolapse is a condition in which the muscles and tissues that support the pelvic organs become stretched, damaged, or weakened, causing the organs they support to drop downward or sag. The pelvic organs include the Vagina, Uterus, Bladder and Rectum. in INDIA for TYPES : Uterine Prolapse Vaginal Vault Prolapse Cystocele - Bladder drops down into the front (anterior wall) of the vagina. • Rectocele - Rectum drops down and bulges into the vagina • • • • Aging • Hysterectomy or Prior Pelvic Surgery • Menopause • Intense Physical Activity • Obesity • Family History • Chronic straining due to Constipation • Chronic Coughing • Pelvic Floor Trauma during Delivery TREATMENT : Cystocele Rectocele After Surgery Symptoms : 1) Heaviness in the pelvic area that worsens standing, lifting & coughing or as the day passes. 2) Bulge in the vagina. 3) Lower back pain. 4) Leakage of urine (urinary incontinence) during cough, laugh, exercise 5) Constipation. 6) Low sexual activity or painful sexual act. • Early : Cured with Physiotherapy (Kegel exercises) - To strengthen Pelvic Floor muscle for better support. • Late : Needs PELVIC ORGAN PROLAPSE SUSPENSION (P.O.P.S.) + STARR Surgery (hospitalization for 2-3 days & rest for 1 week) • In P.O.P.S. a ‘Y’ shaped mesh is used to lift the vagina & is fixed to ASIS. (Anterior bony prominence over waist ) Note : If diagnosed early, Pelvic Floor Physiotherapy alone for 6 months gives excellent results. Diagnosis : • Clinical per rectal & per vaginal examination • MRI Defecography & MRI Pelvis
  16. 16. Curing with Care... Cancer of the Rectum The dreaded ‘C’ word- Dealing with Cancer of the Rectum Cancer Cancer has become an epidemic to say the very least. Aptly termed ‘Emperor of Maladies’ it has become a nightmare for both the patients and their doctors. But what works in the favor of life and a chance at complete recovery is ‘Prevention’ and ‘Early Detection’. This principle also applies to cancer developing in the Colo-Rectal Region. Cancer of the rectum is more prevalent in men above 50. Symptoms : • A change in previous bowel habits, such as constipation or diarrhoea • Bleeding from the anus • Abdominal pain • Weight loss Diagnosis : Colonoscopy & Biopsy Screening for Cancer Rectum for early Diagnosis We, at HHC, have been supporting campaigns to aid ‘Prevention of Cancer of the Rectum’ through dietary recommendations such as high fibre diet and early detection by screening tests. Cancer Rectum Rectal Cancer Removed Colon & Anus Joined AFTER SURGERY TREATMENT : Depends on Stage, Early Stage can be Cured with Surgery. Note : If Cancer Rectum is diagnosed early during screening tests... It can be totally cured.
  17. 17. PILONIDAL SINUS FISSURE An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on the toilet paper, sometimes in the toilet. If acute they may cause pain after defecation but with chronic fissures pain intensity is often less. Pines & Pain- Woes of the Pilonidal Sinus l Constipation Causes of FISSURE l Stool Hard l Delivery & Pregnancy l Childbirth trauma in women TREATMENT : 1) Healing Hands Innovative Ayurvedic Therapy 5 - 6 sessions (Oil Therapy) of short 10 mins for 5 - 7 days in continuity. 2) If nothing works : Painless Surgery by Radiofrequency (LASER) is the last option. A less known about and even more rarely discussed is a condition experienced mainly by young men in their 20s and 30s- some of them develop a small painful swelling just below the spine or between the buttocks. Most ignore it or opt for self medication only to experience reoccurrences and episodes of pus discharge. The truth is that these signs and symptoms are not sporadic but develop as part of the pinodial disease where a sinus tract develops from the source of infection in this anatomical region. Infection in this area develops because of the presence of ingrown hair; the risk also increases in cases of sedentary occupation (a norm nowadays), local irritation and trauma. TREATMENT : l Surgery is the only option l Excision & Primary Closure (Plastic Surgery) Note : Almost 95% of Fissure Patient are treated purely with medicines & Ayurvedic Therapy at HHC. A money back Guarantee if our therapy fails.
  18. 18. Curing with Care... HERNIA Types of Hernia Chronic Constipation Inguinal Hernia Incisional Hernia Femoral Hernia Umbilical Hernia Epigastric Hernia Straining in bowel movements Chronic Cough Enlarged Prostate Straining to Urinate TYPES OF HERNIA Extra Weight Heavy Lifting Understanding Hernia 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. 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, or pregnancy. Poor Nutrition Smoking Over Exertion Undescended Testicles Previous Surgery Pregnancy By Birth Note : Slow & Gradual weight lifting is advisable to Gym - goers to prevent Hernia.
  19. 19. 3D Mesh repair for Hernia What is 3D Mesh? The PROLENE 3D Patch mesh is a sterile, 3dimensional device for the repair of small abdominal wall hernias – offering the benefits of tension-free hernia repair with the efficiency of 3 easy steps. This consists of three attached components : Prolene Device An 'underlay patch' that provides for an effective posterior repair on the inside of the abdominal wall giving the benefits of Laparoscopic Repair. A 'connector' similar to plug, but smaller and flatter. An 'onlay patch' that fits over the abdominal wall giving the benefits of Open Mesh Repair. Three Dimensional Mesh Repair (Dual Mesh Repair) Choose Tension free Hernia Repair A device (Prolene Hernia System) has been designed to overcome many of the disadvantages of tension free hernia repair technique which is currently used primarily to repair direct and indirect inguinal hernia. Benefits of 3D Mesh Repair 1) As the device lies flat against the abdomen, it has virtually no chance of migrating like other devices. 2) 3) 4) 5) 6) 7) Minimal number of stitches. Most important the 3-D mesh device provides the benefits of strong posterior repair like a laparoscopic procedure. Guaranteed Freedom from Hernia. Smaller incision (generally about 4-5cm) Can be done under local Anaesthesia also. Discharge within 24 hours and back to work from 3rd day after surgery. NOTE : Any Hernia however small it is (even if 1cm), needs surgical repair, because if prolonged the Hernia defect increases with time.
  20. 20. f Ask s erb ealing Hands rH H o Digestive Diseases When Digestion becomes Disruptive… easy all out It’s time to beat bloating, acidity, heartburn and the headaches they bring with them INDIGESTION GASES CONSTIPATION Purely Herbal & Non Habit Forming We ingest, the body digests. The story of the food we eat and the nourishment we obtain from it is supposed to be as simple as that. But what if things go a little awry? Early in school we are taught that digestion – simple though it may appear to beis actually a complex procedure that begins in the mouth itself and involves the esophagus, the stomach and the intestines. Symptoms : • Bloating • Constipation • Chest pain or burning • Abdominal cramps • Nausea and vomiting Diagnosis : Colonoscopy , Gastroscopy , USG abdomen , MRI Defecography. CAUSES : • Acidity • GERD (Gastro esophageal reflux disease) • IBS (Irritable Bowel Syndrome) • Gall Stones • Appendicitis • ODS (Obstructed Defecation Syndrome ) TREATMENT: We, at HHC can help you to determine the root cause of your digestive disease by detailed dietary history and can treat you with minimal medications , Herbals and lifestyle modifications. Conditions like appendicitis and cholecystitis (Gall bladder stone ) can be treated by Laparoscopic surgery. Note : At HHC most of the digestive diseases are successfully managed by Nutrition Consultation, CONSTACURE Powder & Yoga.
  21. 21. A few Stories... RECTAL PROLAPSE SURGERY MEHBOOB SOMJAL 50 yr, Teacher, Satara. I h a d b e e n s u f fe r i n g f r o m constipation since many years. But as many say some habits die hard. Same was my case. I was used to having laxatives on a daily basis. Years down the line the dosage also increased with my problem. There were times when I didnt pass stools without use of laxatives. Slowly slowly I started having severe hard stools due to which I had to manually remove them during defecation as well. It then dawned on me that I should look into the problem seriously. My digestion was down the drains. I consulted my family doctor who referred me to one of the leading Proctosurgeon Dr Ashwin Porwal. As soon as my history was taken he quickly diagnosed my ailment to be Rectal Prolapse & I was advised to undergo MRI Defecography for ODS. My reports were positive with rectoceles & was further advised to undergo STARR Surgery at Inamdar Hospital. I decided to get it done at the earliest as I wanted relief at the earliest. Today 6 months post surgery I never imagined I could be so better. If I had gone in my preventive stage maybe I would have been cured with medicines as well. All thanks to Dr Porwal for the best surgical treatment given to be. He has made my life heaven! P.O.P.S. for Pelvic Organ Prolapse REKHA GAJBHIJE 45 yr - SBI Employee I used to feel that i am cursed with this problem of constipation since 6-7 years that increased in severity day by day. I had to spend ½ to 1 hour daily in the toilet just to get satisfactory motions. I also used to have difficulty to pass urine since many years since even before marriage. Some times I used to feel that I can’t control my urine. Even slightest coughing or laughing caused dribbling of urine. These complaints made my daily life miserable. My past association with Dr Porwal for Laparoscopic Cholecystectomy made me visit him immediately for a complete solution. He diagnosed me for Obstructed Defecation Syndrome & vaginal vault prolapse. My MRI Defecography too showed severe rectoceles & vaginal prolapse. I was advised to undergo pelvic organ prolapse suspension suregery (P.O.P.S) at Poona Hospital. I was discharged on day 5 with complete recovery from my problem for which I am very grateful to Dr Porwal & the entire team of Healing Hands Clinic team! At HHC we have Video Library of more than 1000 Video Testimonials ! STAPLER SURGERY for PILES SUDHA UDAAS 60 yr - Housewife It feels horrible when your m o r n i n g s a r e b a d d u e to defecation problem. I had suffered from hard stools since many years on & off. Due to this I used to have bleeding on defecation that made me psychologically disturbed months down the line. I had taken Ayurvedic, Allopathic & Homeopathic treatments but all in vain as the problem was suppressed for the time being but came up again in a few weeks. I was extremely frustrated. I read an article in a local leading newspaper about the painless Stapler Surgery & decided to give my ailment a last try. Visiting Healing Hands Clinic gave me a positive vibe. The extreme politeness & care shown by the team was very appreciating. I was diagnosed for Severe Anal Spasm with the beginning of Haemorrhoids. Dr Porwal advised me medicines for a month & then as per recovery the next treatment would be decided. But I had lost my patience & decided to get operated at the earliest to relieve my pain. Discharge within 24 hours & painless surgery details made me relaxed. Today its more than a year that I am operated & I am completely cured from my problem all thanks to Healing Hands Clinic & Dr Ashwin Porwal.
  22. 22. Curing with Care... A few Stories... STAPLER SURGERY for PILES KANHAYYA GODHWANI 50 yr, Teacher, Chinchwad. Getting a good doctor is destiny today. That’s what happened with me. My brother got operated for Hernia just a few months before I got operated. He was completely happy with the service & suggested me to consult Dr Ashwin Porwal at the earliest. I was diagnosed for Grade III Haemorrhoids and was explained my problem was not the one to be completely cured with medications & so was advised Stapler Surgery. I had frequent bleeding with hard stools & need to strain while passing stools. My past association with Dr. Porwal for my brother made me undergo surgery without any doubts and hesitation. Today 6 months post surgery I don’t believe that I underwent surgery, such is the success of the surgery. I would definitely advise all the patients suffering from Piles to consult Dr Porwal and get the appropriate treatment. The staff, the follow up treatment, the aftercare system & the 24x7 availability of the team even post surgery is mesmerizing and satisfying! Thank you Healing Hands Team for making my life peaceful! FISTULA : Rare High Inguinal BHAGWAN JAYBHAY 45 yr, Advocate, Nagar. I was having a very poor lifestyle & sedentary pattern. Food habits were vague as due to my hectic schedule I used to eat whatever was available. Little did I realize such a dreadful problem was awaiting for me in near future. I underwent three surgeries previously and was hospitalised for 15days for each surgery of fistula. But all of them failed. Later was refused for surgery by colo rectal surgeon in Mumbai.Finally was referred by a renowned politician to Healing Hands Clinic, Dr Ashwin Porwal. MRI Fistulogram was done showing the rarest of rare fistula recto inguinal - a fistula that extended from my rectum to the Inguinal region. No mention of surgery for same exists in medical literature. Surgery for same was performed successfully and the technique is now know on name of Dr Ashwin Porwal , Pune. It took me 3-4 weeks post surgery to recover completely. But today I feel if I wouldn't meet Dr Porwal I would not be having this life that's lived happily ever after ! AYURVEDIC THERAPY : Early Costipation PRAKASH SANAP 38 yr, Teacher, Nasik. I had a severe constipation problem since few month. Frequent hard stools, incomplete evacuation & manually removing stools had become a daily habit. Ever y doctor in Nasik had diagnosed me as fissures, but I was sure my problem was something different. I read about Dr Porwal on internet via Doctor for Constipation in Pune. I consulted him & was very happy to know that my problem could be rectified. He suggested me to undergo MRI Defecography – the newly introduced diagnostic test for chronic constipation. The reports were in the mild stage, so I was advised to undego Diet, Ayurveda therapy & Physiotherapy with medicines for my ailment. This treatment was for 6 months. Within 2 months I started getting good results. I had irregular bowel habits as well before, but now I started having regular bowels & with soft consistency. But with patience I followed what was told to me by the team & today even without surgery I am completely happy. All thanks to Dr Porwal & the entire Healing Hands Clinic Team! To See the Actual Video Testimonials of these Patient & many more Visit : www.storiesofpilestosmiles.org
  23. 23. A few Stories... STARR SURGERY for Constipation HERNIA : 3D MESH REPAIR stevemdada@yahoo.com I never Ever dreamed in my worst nightmares that Constipation if not prevented on time could lead to surgery. Shifting to India a few years back made me feel heaven. I thought maybe having a good healthy work environment & consulting a few General Physicians would cure me of my 7 year old constipation problem. But day by day my constipation worsened with which I was referred to a leading Proctosurgeon in India Dr Ashwin Porwal by my Physician. Earlier my colonoscopy was done but it was normal and all other tests including sonography were normal . But it was MRI Defecography which diagnosed my problem. I realized I had not followed the 'Prevention is better than cure' & fallen prey to an ailment that can worsen ur daily morning chores. But having such a trustworthy, supportive & medically faithful doctor is something rare that I found in Dr Porwal & decided to get operated at Inamdar Hospital for STARR Surgery for Obstructed Defecation Syndrome that I was suffering from. Today if u see me moving around with zest & zeal u will never believe that in 24 hours this operation that I was scared about took me back home without any pain & suffering & free from constipation for the rest of my life! Kudos to Healing Hands Clinic staff! UNITED KINGDOM 27 yr, Software Engineer, USA. 50 Yr, Retired, Jalgaon. 50 yr, Social worker, USA. UNITED STATES SOURABH SHETTY LAXMAN PATIL STEVE MYRHO INDIA STAPLER SURGERY for PILES A year back I noticed a small welling on my left inguinal region. But it went unnoticed as I thought it would reduce on its own. But on coughing & lifting weights it started paining on & off. The size also gradually increased. I used to have pain in abdomen as well sometimes. My family doctor advised me to get a sonography done in which I was diagnosed for left inguinal hernia. I didn’t have enough knowledge on this, but as per my physician he knew it would require surgical treatment so he referred me to Dr Ashwin Porwal who is a very well known & leading Surgeon in Pune. He immediately advised me to undergo the innovative 3D Mesh Surgery for my ailment. I decided to get it operated as I knew my problem would increase day by day. I had a wonderful experience with Healing Hands Clinic and the treatment given to me. Excellent team work, coordination & treatment. I am very happy today! IRAN UAE AFGANISTAN NEW ZEALAND SAUDI ARABIA CG.Shetty@unilever.com I always had big dreams since childhood of working with a reputed company in the states. I was excited on my first day at Texas for my job. Little did I know that change of country & lifestyle would affect my health profoundly. To keep away from parents I didn't discuss my health until I realized it needs immediate medical attention when one morning I had severe bleeding on passing stools. Googling for Piles doctor in pune made me visit India's leading Proctologist Dr Porwal. Taking my grade ii bleeding haemorrhoids in consideration Dr Porwal advised me medication for a month. But my short visit made me decide for quick surgery for permanent recovery.. Within 24 hours I was discharged & within a weeks time I'm back to States. All thanks to the invention of Stapler Surgery & Dr Porwal! SINGAPORE SOUTH AFRICA SWITZERLAND SPAIN
  24. 24. DP ROAD HEALING HANDS CLINIC 4th Floor, Millennium Star Extension, Above KFC Restaurant, Adjacent to Ruby Hall Entrance Gate, Dhole Patil Road, Pune - 411 001 Tel. : 020 - 26164488 / 99 Time : Tuesday &Thursday - 6 to 8pm Saturday 12 to 3 pm TILAK ROAD HEALING HANDS CLINIC Mangalmurti Complex, Office No. 105, 1st Floor, Near Hirabaug Ganpati, Tilak Road, Pune - 411 002 Tel. : 020 - 24444442 Time : Monday & Wednesday - 11 to 2pm www.healinghandsclinic.co.in www.storiesofpilestosmiles.org An ISO certified clinic Member of ECTA (European Colorectal Technology Association)

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