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Indian piles surgeon teaches his rare bum technique to Pak counterparts
8/26/2006 6:57:03 PM

Karachi, Aug 26: Dr Ashok Ladha, a piles specialist from Indore (India), is on a three-day trip to Karachi’s Jinnah Postgraduate Medical Centre these days to teach his rare piles surgery technique to young Pakistani surgeons free of cost.

Dr Ladha explained his rare specialised technique not involving general anesthesia, but local anesthetic or ‘blocks’ that numb only the area that needs to be operated on - the bum.

Ladha’s technique using local anesthetic means that the patient is awake during surgery. The patients he performed on in the morning at the new JPMC operating theatres, were up and walking around by mid-afternoon. “The advantage of this surgery is that anybody can do it with the basic operating material and minimal facilities and the use of local instead of general anesthetic means that the cost is greatly reduced for the patient. The second great advantage is the level of comfort for the patient,” the Daily Times quoted Ladha as saying.

His technique focuses on stapling the piles up in a less sensitive area of the rectum. This technique was the brainchild of Italian surgeon Antonio Longo who came up with it about eight years ago. Prior to the hemorrhoidopexy or stapling technique, which is different from hemorrhoidectomy or cutting off piles, surgeons would tie them up in the rectum with rubber bands.

Surgery for piles usually gives a patient and his doctor the shivers, Ladha said and added, “But, not all piles cases require surgery.”

A patient can modify bowel habits and try medical intervention but at some point, depending on the case, surgery may be required, he, however, added.
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