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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Procedure for Piles-DGHAL


Doppler Guided Hemorrhoid Artery Ligation (DGHAL), one of the best piles treatment for all types of piles (hemorrhoids), is a painless procedure which is sometimes preferred over many other treatment options available at our piles clinic in Mumbai.

This procedure is specially indicated in piles patients who present with bowel incontinence, those who are at risk of having post hemorrhoidectomy incontinence and individuals who prefer painless treatment over painful surgeries which may require long hospital stays.

On the other hand, the main contraindications for DGHAL have been identified as the usage of anticoagulants such as Aspirin and Coumadin which may increase the risk of bleeding following the procedure. However, this is just a relative contraindication which can be intervened according to the comorbidities of the patients.

Technique of DGHAL

1-2 Fleet enemas will be provided few minutes before the process to empty bowel.

Intravenous anesthesia known as Propofol is administered in order to sedate the patient prior to the procedure followed by local anesthesia around the site of rectum.

A special instrument known as Proctoscope attached to a rotatable needle is pushed into the rectum by which causative hemorrhoid arteries are identified, isolated and ligated using stitches.

As a result, blood supply to the anal cushions (piles) will be cut off leading to their sloughing off or shrinkage later.

Furthermore, the stitches used to ligate these blood vessels will form a rectal pexis (web-like) by connecting the rectal mucosa to the layers underneath, thereby raising the hemorrhoidal cushions up above the dentate line which will reduce the risk of rectal prolapse.

Benefits of DGHAL

DGHAL is safe and effective procedure in the hands of best doctor for piles in Mumbai.

  • Rapid and accurate identification, isolation and ligation of Hemorrhoidal arteries.
  • Minimum discomfort and pain
  • Minimally invasive surgery
  • Can be done without the need of general anesthesia
  • Short duration of hospital stay, once the sedation wears off and patient comes back to his normal consciousness he will be discharged from hospital
  • Short recovery time, Patient can go back to his normal lifestyle in a day or two.
  • No life-threatening or major complications identified
  • Patient satisfaction

However, patients may complain of an urge to empty bowel without any resultant defection , following the operation and this can last for 12-24 hours. As far as the other possible complications are considered, some patients may present with mild bleeding immediately after the procedure which may be mostly due to the use of Aspirin.

A minority of patients may develop infections which can lead to generalized sepsis, perianal thrombosis and anal fissures. But, sufficient precautions and early identification of symptoms associated with likely complications can prevent the occurrence of serious conditions later on. There can also be a very low chance of recurrence which can occur in only about 5% of the patients.

In a concluding thought, DGHAL has been identified as one of the latest minimal invasive painless operative procedures used for treatment of piles (Hemorrhoids) and is preferred by many colorectal surgeons or piles specialist doctor in Mumbai and all over the world due to its several advantages and good success rate.

Cost of DGHAL piles treatment is approximately INR 50,000/- TO 80,000/- depending upon type of hospital.

Inquire about cost of DGHAL piles treatment in Navi Mumbai And more about one stop piles clinic. At 9833290590


What patient says about Dr. Nitish Jhawar

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    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience