Pravin Jaiprakash Gupta

Learn More
OBJECTIVE The aim of this study is to clinically test the efficacy of author's approach of suture ligation and mucopexy for patients having symptomatic and prolapsing hemorrhoids. MATERIALS AND METHODS 616 patients (255 females) complaining of symptoms of hemorrhoids were included in the study. The hemorrhoids were suture ligated with an absorbable suture(More)
INTRODUCTION Fissure in ano is a troubling and painful condition that affects a great majority of the population world over. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that(More)
BACKGROUND The surgical approach to pilonidal sinus disease is open to debate. This prospective, randomized study was aimed to compare the outcome of the excision and marsupialization and the sinus excision technique by radiofrequency. MATERIALS AND METHODS Thirty patients of chronic pilonidal sinus disease were randomly assigned to radiofrequency sinus(More)
BACKGROUND Infra-red photocoagulation is used as an instrumental treatment for bleeding hemorrhoids. During this procedure the tissue is coagulated by infrared radiation. For treatment, mechanical pressure and radiation energy are applied simultaneously to ablate the blood supply to the hemorrhoidal mass. MATERIAL AND METHOD This study describes the(More)
BACKGROUND Warm water sitz bath is routinely recommended after anal surgery. The aim of this study was to determine the influence of sitz bath with regards to pain scores, analgesic requirements and patient satisfaction ratings after haemorrhoidectomy. METHODS Fifty patients were randomly assigned to receive antibiotics and analgesics alone (control(More)
BACKGROUND A wide variety of approaches are employed in dealing with sacro-coccygeal pilonidal sinus disease. They range from a conservative treatment to an extensive surgical excision. However, a method of lying open sinuses is still practiced in many parts of the world due to its simplicity and favourable outcome. MATERIAL AND METHODS This study(More)
A tuberculous origin must be considered when the cause of perianal lesion is unclear to avoid undesirable delay in the diagnosis and treatment. This brief treatise explores the different etiopathogenic, clinical, and diagnostic manifestations of ano-perianal tuberculosis (Tab. 4, Ref. 40).
Anorectal fistulas are common maladies. The challenge in therapy of perianal fistulas balances between the best possible cure and the preservation of continence. Complex fistulous disease challenges even the most experienced surgical specialists. The management options in these groups of patients are inadequate, with treatment often requiring multiple(More)
BACKGROUND Conventional approaches dealing with chronic anal fissures focus on relieving the anal spasm by manipulation of the internal sphincter. The concomitant pathologies like sentinel piles, anal papillae, or haemorrhoids, however, are often ignored for unknown reasons. MATERIAL AND METHODS This study describes radiofrequency procedures to remove the(More)