Sharvari Hospital, Pune
Case studies — how Sharvari Hospital plans complex surgery
These are real decisions, not marketing. Some of them are decisions not to operate, and every one is published with the patient's written consent and identity removed.
Every patient is a person. Not a number to hit by month-end.
Each case shows the map made before surgery, what was found in theatre, and how the two decided the operation. Every case is de-identified and published with the patient’s written consent. No outcome statistics are claimed from single cases.
-
Rectal prolapse · Misdiagnosed as piles · 22 September 2026
“Piles” that turned out to be rectal prolapse — diagnosed in one visit, repaired with Delorme’s procedure
A 24-year-old man with about a year of constipation and a swelling coming out of the anus on passing stool had consulted several doctors and been treated for piles without relief. On history and examination at Sharvari Hospital the swelling was a single ring-shaped mass with circular folds — the whole rectal wall, not separate lumps: a full-thickness rectal prolapse. It was repaired with Delorme’s procedure, done entirely through the anus with no abdominal incision and no mesh. He was discharged on day 2 and, in his case, was back to routine in about a week with no recurrence on follow-up so far.
-
Recurrent fistula · MRI-mapped · 21 September 2026
Recurrent complex fistula — the MRI found a 6 cm abscess that could not be seen from outside
A man in his early thirties whose fistula, operated elsewhere about eight years earlier, came back as eight days of pain with one small opening near the anus and no significant discharge. The MRI fistulogram showed a 6 cm horseshoe abscess behind the rectum and a 6.5 cm tract crossing the external sphincter (St James’s grade IV) — none of it visible from outside. The abscess and internal opening were laid open and drained, the part of the tract crossing the muscle was cored out rather than cut, and the tract was removed to the skin. He was discharged the next day; in his case the wound was healing at follow-up.
-
Hernia · emergency surgery · 17 September 2026
Strangulated umbilical hernia — emergency surgery the same night, bowel saved
A woman in her late sixties with an umbilical hernia of about fifteen years came to the emergency department at night with vomiting, abdominal pain and a swelling that would not go back in. An emergency laparotomy the same night found a loop of small bowel strangulated at the hernia neck; released in time, its colour and blood supply recovered on the table and no bowel had to be removed. The hernia was closed with sutures only — no mesh in a contaminated field — and in her case she went home after a three-day stay.
-
Piles · problems after surgery elsewhere · 17 September 2026
Anal stenosis and a non-healing wound one year after piles surgery — corrected with stricture release and mucoplasty
A young woman in her early twenties with about a year of pain and difficulty passing stools after a piles procedure at another hospital. Examination showed a severe scar narrowing of the anal canal with a wound at 6 o’clock that had never healed. The wound was excised, the stricture released and healthy mucosa advanced to cover the defect (mucoplasty); in her case it healed in 6–8 weeks with no complaints at follow-up.
-
Piles · 16 September 2026
Grade 4 prolapsed piles, 10 years of symptoms, treated with stapler haemorrhoidopexy (MIPH)
A man in his fifties with about ten years of a swelling coming out of the anal region and on-and-off bleeding. Examination showed a circumferential Grade 4 prolapse that could not be pushed back. A stapler lifted and fixed the prolapse with no external wound — chosen for this anatomy despite its higher prolapse recurrence than haemorrhoidectomy — and he was discharged the next day.
-
Fistula · 16 September 2026
A trans-sphincteric fistula mapped on MRI and treated with hybrid fistulotomy + FiLaC
MRI fistulogram mapped a single trans-sphincteric tract from the 6 o’clock internal opening to a 4 o’clock external opening. The probe confirmed it in theatre, and the plan changed from a full lay-open to a hybrid fistulotomy + laser so the sphincter was not divided.
Hernia emergencies and planned repair: hernia surgery in Pune · Piles, or something else? Symptoms, grades and examination: piles treatment in Pune · Prolapsed piles: Grade 3 & 4 piles treatment · How the MRI map is read: MRI fistula mapping · First-time fistula: fistula treatment in Pune · Recurrent fistula: complex & recurrent fistula treatment