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 Table of Contents  
ORIGINAL ARTICLE
Year : 2021  |  Volume : 6  |  Issue : 1  |  Page : 1-2

Effectiveness of pile relief device with special reference to hemorrhoids and fissure in ano among general population - A clinical study


1 Proprietor, Head of the Department of Proctology, Rana Hospital, Fatehgarh Sahib, Punjab, India
2 Proctologist, Department of Gynaecology, Rana Hospital, Fatehgarh Sahib, Punjab, India
3 General and Laparoscopic Surgeon, Department of Surgery, Rana Hospital, Fatehgarh Sahib, Punjab, India
4 Manager, Department of Proctology, Rana Hospital, Fatehgarh Sahib, Punjab, India
5 Proctologist, Department of Proctology, Rana Hospital, Fatehgarh Sahib, Punjab, India
6 Proctologist, Department of Infertility, Rana Hospital, Fatehgarh Sahib, Punjab, India

Date of Submission29-Apr-2020
Date of Acceptance07-May-2021
Date of Web Publication03-Jun-2021

Correspondence Address:
Dr. Hitender Suri
Department of Proctology, Rana Hospital, Near BDO Office, Sirhind, Fatehgarh Sahib, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmo.ijmo_6_21

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  Abstract 


Background: Hemorrhoids and fissure are one of the most common anorectal problems. It is reported that 1 in 5 patients suffers hemorrhoids and fissure during their lifetime. Aim and Objectives: To study the effectiveness of “pile relief device” in the management of hemorrhoids and fissures among patients attending outpatient department. Methodology: Hence, a clinical study has been carried out among 1000 patients at Rana Piles Hospital, Sirhind (Punjab), to treat the fissures and hemorrhoids by a cryotherapy device called Pile Relief Device. Results: The result shown that there is significant regression of haemorrhoidal pile mass, healing of fissure mucosa, and no anal stenosis. Conclusion: The results were shown that the Pile Relief Device is effective over today's conventional line of treatment.

Keywords: Cryotherapy device, fissure in ano, hemorrhoids, pile relief device, veg. glycerin


How to cite this article:
Suri H, Suri D, Bansal K, Suri S, Ghodke V, Kaur G. Effectiveness of pile relief device with special reference to hemorrhoids and fissure in ano among general population - A clinical study. Int J Med Oral Res 2021;6:1-2

How to cite this URL:
Suri H, Suri D, Bansal K, Suri S, Ghodke V, Kaur G. Effectiveness of pile relief device with special reference to hemorrhoids and fissure in ano among general population - A clinical study. Int J Med Oral Res [serial online] 2021 [cited 2021 Oct 20];6:1-2. Available from: http://www.ijmorweb.com/text.asp?2021/6/1/1/319420




  Introduction Top


Hemorrhoids and fissure are one of the most common anorectal problems. It is reported that 1 in 5 patients suffers hemorrhoids and fissure during their lifetime. In the present day, there is no safe and proper treatment protocol to treat anorectal hemorrhoids and fissures. We have limitations to suggest the oral medications and limitations to use a local topical ointments. We can suggest only dietary changes and advise to drink plenty of water.[1],[2],[3],[4],[5] However, it is not enough to cure or treat the hemorrhoids and the fissure in ano among patients. We are using cryotherapy device called “pile relief device” in the management of the hemorrhoids and fissure in patients and the effectiveness and safety of this treatment have to be studied during this research project. Pile relief device is a drug free, patented device for the treatment of Haemorrhoids (piles) and Fissures in ano. This device is to applied in the left lateral position for 7 min twice in a day for 15 days and then once a day for 1 month.

Aim

To study the effectiveness of “pile relief device” in the management of hemorrhoids and fissures among patients attending outpatient department.


  Methodology Top


1000 Prediagnosed patients having hemorrhoids and fissure were selected. All patients having complaints of piles and fissures were screened thoroughly before application of the pile relief device. Written informed consent was taken and counseling of the patient about the procedure of application of pile relief device was done.[1] All procedures performed in the study were conducted in accordance with the ethics standards given in 1964 Declaration of Helsinki, as revised in 2013. The study proposal was submitted for approval and clearance was obtained from the ethical committee of our institution. The sign and symptoms and local manual examination were noted. The patient was advised to lie on the left lateral position. The pile relief cryotherapy device was taken out from freezer which was stored in the freeze for 3 h. Veg. glycerine applied over the top of the device to facilitate comfort. Pile relief device is then applied for 7 min.


  Results Top


Pile relief device is effective over today's conventional line of treatment it is safe to use for all age groups as shown in [Table 1] and [Table 2].
Table 1: Clinical sign symptoms and its findings

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Table 2: Proctological examinations findings

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  Discussion Top


The effectiveness of pile relief device against the clinical sign symptoms of hemorrhoids and anal fissure were pain, bleeding per rectum, inflammation, itching, burning sensation, and constipation were studied, also the proctological findings of pile mass regression, healing of fissured mucosa, anal stenosis were examined and they were noted in that the 98% patients show no pain, no bleeding and inflammation in 92% and 94% patients, burning sensation decreased up to 96% of patients and constipation relieved up to 93% patients.[1],[6],[7],[8],[9],[10] Also proctological examination showed marked improved results the healing of fissured mucosa and anal stenosis or anal spasm have been relieved up to 91% and 88% whereas the pile mass regression in 89% of patients. It has been found out that Piles General Medical Systems Relief Device with Kegel exercise can relieve more than 90% cases of Fissure and Haemorrhoids. Kegel exercise has to be done for 100 times a day i.e. 50 times in the morning, 50 times in the evening with a gap of 1 h with meals.


  Conclusion Top


Based on our study, we have concluded that the pile relief device is effective over todays conventional line of treatment, relatively easy, and having no side effects over the medicinal treatment and during pregnancy.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Suri H, Suri D, Suri R, Virender, Bansal K. Clinical study of pile relief device with special reference to haemorrhoids and fissure in ano during pregnancy. J Adv Med Dent Scie Res 2020;8:115-8.  Back to cited text no. 1
    
2.
Gupta PJ. Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper. Rom J Gastroenterol 2005;14:37-41.  Back to cited text no. 2
    
3.
Rudd WW. Ligation and cryosurgery of all hemorrhoids. An office procedure. Int Surg 1989;74:148-51.  Back to cited text no. 3
    
4.
Amorotti C, Mosca D, Trenti C, Pintaudi U. Usefulness of lateral internal sphincterotomy combined with hemorrhoidectomy by the Milligan Morgan's technique: Result of a prospective randomized trial. Chir Ital 2003;55:S79-886.  Back to cited text no. 4
    
5.
Balasubramaniam S, Kaiser AM. Management option for symptomatic hemorrhoids. Curr Gastroenterol Rep 2003;5:431-7.  Back to cited text no. 5
    
6.
McDonald PJ, Bona R, Cohen CR. Rectovaginal fistula after stapled hemorrhoidopexy. Colorectal Dis 2004;6:64-5.  Back to cited text no. 6
    
7.
Gupta PJ. Radiofrequency ablation and plication of hemorrhoids. Tech Coloproctol 2003;7:45-50.  Back to cited text no. 7
    
8.
Krasznay P. Ambulatory treatment of hemorrhoids using rubber band ligation and cryodestruction. Early results. Orv Hetil 1990;131:467-8.  Back to cited text no. 8
    
9.
Yamamoto Y, Sano K. Cryosurgical hemorrhoidectomy: How to prevent the postoperative swelling and prolapse. Cryobiology 1982;19:289-91.  Back to cited text no. 9
    
10.
Neiger A. Hemoorhoilds in everyday practice. Proctology 1979;2:22-8.  Back to cited text no. 10
    



 
 
    Tables

  [Table 1], [Table 2]



 

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