1Shiv Shraddha Nursing Home, India
2Snap Finance LLC, USA
3The University of Kansas, Medical Center, USA
After pioneering work of Milligan and Morgan, the range of options are increasing as time passed. Although there is a long list of options, they fit in either removal (excision, ligation, destruction) or repair (fixation, decreasing blood supply by ligation or embolization and decreasing tone) of haemorrhoids. With the goal of balancing between patient satisfaction, resolving symptoms and acceptable complications, surgeons modify and mix above techniques with the use of ever-growing energy devices and give confusing terms to describe the same procedure. This makes it difficult to compare each technique transparently. With the goal of preserving anatomy, physiology and functions, the major challenge is to develop dynamic indicators which are meaningful, relevant and feasible by differentiating between not that important, but not critical and important and critical outcomes. Until that can be done, we can calculate lifetime cost by measuring what is too much or too less and appropriate or inappropriate treatment. Supported by continuous auditing and focusing on research. There is a strong need of platform which addressing these challenges. It will avoid duplication and focusing energy only on relevant. On this platform, actionable information like listing most critical and worthwhile questions which need to answer with their priorities. The ultimate focus is on cure and making haemorrhoids from a chronic disease to curable disease. It is now up to us, whether to go alone or together, focused or unfocused, synchronized or unsynchronized and making this platform go to place for Haemorrhoids or not.
Biography:
Parshottambhai B Patel MS, ADIT is a Surgeon and Cancer specialist. He was practicing from last 34 years at Shiv Shraddha Nursing Home and visiting surgeon and cancer specialist at Apollo Hospital Ahmedabad, Gujarat, India. The primary focus is on anorectal diseases, breast and head and neck cancer. He has a special interest in prevention and early detection of cancer. He has written one book and more than 15 educational booklets. He has taken more than 1000 lectures all over the state of Gujarat. He is also distributing educational information with actionable information in a way which is easy to understand. He also presented papers in national and international confe
RAK University and Health & Medical Consultancy, United Arab Emirates
Aging has three main components, intrinsic related to DNA and heredity, extrinsic through the effects of environment, nutrition and the lifestyle and a third component related to emotions and psychology. Telomeres are repeated sequence of DNA containing no genetic information. They cap and seal the ends of the chromosomes and protect them from damage. With time, there is progressive shortening of the telomeres with each cell division. They could be the clock that determines loss of proliferative activity of the cell leading to apoptosis. Wrinkles, dilated pores, elangiectasias and hyperpigmentation are some manifestations of skin aging. Aging causes serious decrease in metabolic activity of fibroblasts, protein synthesis and quantity of collagen. There is loss of adhesion capacity of fibroblasts to collagen fibers and disorganization of elastic fibers. The percentage of collagen production in wrinkle is reduced by 70%, the contractile bundles of actinomyosin are formed and composition of the dermis and the structure of macromolecules of the skin are modified. The etiology of skin aging may include impaired production of collagen and elastin, thickening of stratum corneum, laxity, impaired tone, texture and elasticity, fat atrophy and loss of support. Aging and sun exposure may lead to hyperpigmentations, telangiectasias, laxity, elastosis, wrinkles and enlarged pores. Solar UV radiation induces matrix metalloproteinases, resulting in impaired integrity of collagenous extracellular matrix, attacks keratinocytes and fibroblasts, resulting in activation of cell surface receptors, breakdown of collagen in extracellular matrix and shutdown of new collagen synthesis. Treatments may include laser, collagen, elastin stimulation, rejuvenation, surgery.
Biography:
Professor M F Al Homsi completed MD at the University of Damascus, School of Medicine in 1980. He did his postdoctoral studies at the University of Illinois, School of Medicine in USA. He became Diplomat of American Board of Pathology and Fellow of the College of American Pathologists in 1990. Currently, he is Chairman of Pathology Department, College of Medicine, RAK University and Senior Consultant Pathologist at the University Hospital in UAE. He presented more than 90 conference papers, published 5 books and book chapters and more than 40 papers in reputed journals.
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