Dr. Ashwin Porwal

MS (Gen. Surgery) • Founder & Chief Surgeon, Healing Hands Clinic • India’s leading proctologist with 25+ years of clinical experience, 6 patents, and 60+ peer-reviewed publications. Pioneer of minimally invasive colorectal surgery in India.

About This Publication

This case series represents one of the largest published single-center experiences with stapled hemorrhoidopexy (Procedure for Prolapse and Hemorrhoids — PPH) from India at the time of publication, documenting outcomes in 3600 consecutive patients treated at Healing Hands Clinic.

Stapled hemorrhoidopexy was introduced as an alternative to conventional hemorrhoidectomy for Grade III and IV hemorrhoids, offering the advantages of reduced post-operative pain, faster recovery, and comparable recurrence rates. However, large Indian series were lacking — this study addressed that gap.

The series documented key operative parameters, complications (including urinary retention, bleeding, stricture, and urgency), patient satisfaction, return to normal activity, and long-term recurrence rates at defined follow-up intervals.

The outcomes confirmed that stapled hemorrhoidopexy is safe and effective in the Indian population when performed by an experienced colorectal surgeon, with complication rates consistent with or better than published international benchmarks. This study laid the foundation for subsequent technical refinements and the development of laser hemorrhoidopexy at Healing Hands Clinic.

Key Findings & Clinical Significance

Publication Details

Case Series

2015

Apollo Medicine

Apollo Medicine. 2015;12(1_suppl):S3

How to Cite This Publication

Apollo Medicine. 2015;12(1_suppl):S3

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Frequently Asked Questions

Q: What is stapled hemorrhoidopexy?

Stapled hemorrhoidopexy (PPH) is a minimally invasive surgical procedure that repositions prolapsed hemorrhoidal tissue using a circular stapler, reducing blood supply to the hemorrhoids without external wound creation — resulting in significantly less post-operative pain than conventional hemorrhoidectomy.

Q: What are the complications of stapled hemorrhoidopexy?

Potential complications include post-operative bleeding, urinary retention, rectal urgency, staple line stricture, and recurrence. This case series documents the frequency and management of each complication.

Q: How does stapled hemorrhoidopexy compare to laser hemorrhoidopexy?

Stapled hemorrhoidopexy was the gold standard for Grade III–IV hemorrhoids for many years. Healing Hands Clinic subsequently developed laser hemorrhoidopexy, which a 2023 observational study of 1088 patients showed offers comparable outcomes with even less post-operative discomfort.

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About Healing Hands Clinic

Healing Hands Clinic is India’s largest network of dedicated proctology and colorectal surgery centers, with 50+ locations across India and Dubai. Founded by Dr. Ashwin Porwal, the clinic specialises in minimally invasive treatments for piles, fissures, fistulas, rectal prolapse, constipation, and related colorectal conditions. NABH accredited, serving over 1 lakh patients annually since 2004.