Constipation is a frequent symptom in the general population. The prevalence depends on the utilized definition. We usually divide constipation in two types: obstructed defecation or prolonged bowel transit time. Obstructive defecation syndrome (ODS) has become a well-known syndrome with different clinical etiology and symptoms. If we consider ODS an “iceberg syndrome”, with “emerging rocks”, rectocele and rectal internal mucosal prolapse, that may benefit from surgery, at least two out of ten patients also has “underwater rocks” or occult disorders, such as anismus, rectal hyposensation and anxiety/depression, which mostly require conservative treatment.
I am a Consultant Laparoscopy Gastrointestinal & Anorectal surgeon @ Ratandeep Surgical Hospital &Endoscopy Clinic / MARENGO CIMS Hospital Ahmedabad / CURA Hospital Ahmedabad / EPIC Hospital Ahmedabad / ICON Hospital Ahmedabad. I am into Exclusive anorectal practice for the last 33 years. I have organized workshops where around 184 surgeons all over Asia had hands-on training for hemorrhoidal artery ligation & rectoanal repair & Lasers in anorectal surgery. I have been invited as a faculty to multiple national and international conferences. I am an author of the Amazon bestseller “Anorectal Surgery Made Easy – With Two Interactive DVD ROMs”. I have received the Best Paper Award For “Anal Tonometry – A Newer Diagnostic Aid In Anal Disorders” – @ Gujsurgcon 2005. I am an Elsevier and Publons certified peer reviewer for international journals. My research paper: DG-RAR for the treatment of symptomatic grade III and grade IV hemorrhoids: a 12-month multi-center, prospective observational study – Was Published in “European Surgery” in “Feb 2013”. With “The association of colon & rectal surgeons of India – I am a task force member for framing practice parameters for the management of hemorrhoids for surgeons of India. I have been an organizing committee member to a good number of conferences and workshops and organizing chairman to the successful “AAS Proctocon 2022” held in Ahmedabad on 13th November2022.