Laser proctology refers to the treatment of diseases of colon, anus and rectum via laser application. Haemorrhoid, fistula, fissures, polyps and Pilonidal Sinus are a few diseases that are effectively treated using laser techniques. Laser treatment for piles and fissures are increasingly used to successfully treat them in both men and women.

What is laser proctology (surgery)?

What is laser proctology (surgery)?

Laser (Light Amplification by Stimulated Emission of Radiation) is a high-energy light that is used to safely cut or burn the affected tissue during surgical procedures. The laser techniques are advanced and safer than before; they are scar-free, bloodless and less painful with fewer complications.

How is laser surgery better than conventional surgery?

Laser surgery or laser therapy is a day-care procedure that offers several advantages over traditional surgery. Compared to banding surgery, laser effectively treats hemorrhoids, improves symptoms and reduces post-operative pain. Similar benefits are seen for patients with severe anal spasms, external thrombosis, fissure, and sentinel tags, fistula & varicose veins due to ever-growing advantages, namely:

• Less operation time, discharge within a few hours
• Back to routine life in 3-5 days
• Greater surgical precision
• Sutureless treatment with no scars 
• Fastest recovery as there are no cuts or stitches
• Quick relief from the symptoms
• Less blood loss during surgery
• No or minimal post-operative pain
• Reduced risk of infection
• Reduced risk of rectal stenosis or prolapse
• Aesthetically the best procedures – helps as a confidence-booster for the patient.
• The anal sphincter action is well preserved, (no chances of incontinence fecal leak).
• Least recurrence rates
• Fewer doctor visits post-surgery
• High success rates
• No need for general anesthesia. Local or spinal anesthesia is applicable for this surgery

What are the anorectal diseases that require laser surgery?

Piles

Piles or hemorrhoids is excessive of arterial blood flow, causing dilations in the hemorrhoidal plexuses and, consequently congestion. Enlarged veins that are located at the junction of rectum and anus are known as Hemorrhoids, Mulvyadh or Bavasir.

Anorectal Fissures

An anal fissure is a small tear or a crack in the lining of the anus. Anal fissure may occur when passing hard or large stools causing pain and bleeding during bowel movements.

Anal Fistula

An anal fistula is a small, infected channel that can develop between the end of the bowel and the skin near the anus. Most anal fistulas are the result of an infection in an anal gland that spreads to the skin.

Pilonidal Cyst

Pilonidal cysts are the sacs filled with hair and skin debris that are formed at the top of the crease of buttocks above the sacrum. A painful abscess can form if the cyst and overlying skin become infected.

What are the common anorectal diseases in men & women?

Anorectal diseases in adults may be too common yet undiagnosed and untreated. This is because most of the adult patients feel shy or embarrassed to talk to their doctor, especially women. Fortunately, these problems can be recognized early so, it is important to ensure that symptoms of anorectal diseases such as rectal pain and bleeding are thoroughly evaluated by the doctor. Some other symptoms reported include:

• Pain/bleeding while passing stool
• Unable to sit continuously
• Blood spotting
• Strain while passing a motion

A large proportion of women live with these problems who may seek the help of female doctors for piles, hemorrhoids, fistula or anal fissure. Yashoda Hospitals have expert lady doctor for piles in Hyderabad and lady doctor for piles in Secunderabad.

Who are lady proctologists?

Lady proctologist in Hyderabad are the doctors who are specialized in treating hemorrhoids, piles, anal fissure, and fistula. The team of piles lady doctor in Yashoda Hospitals, Hyderabad is led by the doctors with more than 20 years of experience. Piles specialist lady doctors at Yashoda Hospitals in Hyderabad are among the top laser proctologists for piles, hemorrhoids, fistula & fissures. Every year people from across the city and outside visit Yashoda Hospitals to undergo laser treatment by doctors who are internationally trained in piles laser treatment. We are piles hospital in Hyderabad for ladies with a team of doctors including lady doctor for hemorrhoids, lady doctor for fistula, & lady doctor for anal fissure in Hyderabad.

What are the different laser surgeries available?

Laser treatments for piles in Hyderabad include:

• Hemorrhoidal LASER Procedure (HeLP)
• Laser hemorrhoidoplasty (LHP)
• Laser treatment for piles in Hyderabad

What is Hemorrhoidal LASER Procedure (HeLP)?

It is minimally invasive laser surgery for hemorrhoids that does not require anesthesia. The procedure involves the identification of terminal branches of the rectal artery using Doppler, followed by photocoagulation of these branches using a LASER diode fiber (1470nm).

What is laser hemorrhoidoplasty (LHP)?

Similar to HeLP, blood flow to the hemorrhoidal plexus is stopped by laser coagulation of branches of the rectal artery.

What is Laser hemorrhoidectomy?

Laser cauterization is a technique in which the surgeon burns to shrink the swollen hemorrhoids. Alternatively, the surgeon may use a narrow beam of the laser to focus only on hemorrhoid and not damage the nearby tissues. It is a safe procedure with minimal bleeding and a quick healing time.

A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

What is FILAC technique (Fistula – Tract Laser Closure)?

It is a minimally invasive and sphincter-preserving technique used in treating anorectal fistula. The affected tissue (epithelialized path) is destroyed and sealed using laser emission radially 360° in a controlled manner. This is one of the most commonly resorted laser treatment for fistula in Hyderabad.

What is Lateral Internal Sphincterotomy (LIS)?

For chronic anal fissure that is resistant to medical and conservative approaches, the doctor may decide to perform a surgery called as lateral internal sphincterotomy (LIS). During the surgery, a small portion of the sphincter muscle is removed. This helps to reduce pain and pressure and allow healing of fissure.

What to expect before, during and after laser colorectal (procto) surgery or procedures?

Before Surgery: The medical team will explain to you about the procedure and also give you instructions about do’s and don’ts before and after the surgery. You will also undergo some pre-operative investigations.

During Surgery: Surgery is carried out under local anesthesia by a specialized team of anesthetists, laser proctology surgeon, and other medical staff. Depending on the type of surgery, surgeons perform the surgery in a few minutes to an hour.

After Surgery: Depending on your health status, you may need to stay in the hospital for a few hours or overnight. Recovery varies from person to person. Generally, patients go back to day-to-day activities in a day or two.

What factors should be considered while choosing a hospital for laser procto surgery?

The success of the laser colorectal surgery depends on the medical team as well as the availability of an advanced set-up. Look out for a piles laser treatment hospital in Hyderabad with a specialized team of doctors, nurses, dietitian, counselors, led by a highly experienced gastro surgeon. Also, the Laser Piles Clinic in Hyderabad should be advanced with well-equipped tools and techniques for carrying out surgery and management of post-surgery complications, if any.

What factors govern the cost of piles laser treatment? Is there insurance coverage available?

The piles laser treatment cost in Hyderabad is governed by several factors, such as

• Availability of skilled and specialized surgeon and facilities
• Medical condition of the patient
• Time-to-recovery
• Usage of medications and additional investigations

The piles laser treatment cost in Hyderabad ranges from 35,000 to 1.5 lakh. The cost varies based on daycare or hospital stay opted. Talk to us to know more about fistula laser treatment cost in Hyderabad and fissure laser operation cost in Hyderabad.

Check if the hospital is enrolled with the majority of Third-party Administrator (TPA) and insurers. If you have an insurance policy, seek help from the TPA desk at the hospital to determine whether your policy covers the surgery or not.

References

• Boarini, P., et al. “Hemorrhoidal Laser Procedure (HeLP): A Painless Treatment for Hemorrhoids.” J Inflam Bowel Dis Disor 2.1000118 (2017): 2476-1958. Accessed online: https://www.omicsonline.org/open-access/hemorrhoidal-laser-procedure-help-a-painless-treatment-for-hemorrhoids.php?aid=93944

• Maloku, Halit, et al. “Laser hemorrhoidoplasty procedure vs open surgical hemorrhoidectomy: a trial comparing 2 treatments for hemorrhoids of third and fourth degree.” Acta Informatica Medica22.6 (2014): 365.

• Carvalho, Alexandre Lopes de, et al. “FILAC-Fistula-Tract Laser Closure: a sphincter-preserving procedure for the treatment of complex anal fistulas.” Journal of Coloproctology (Rio de Janeiro) 37.2 (2017): 160-162. Accessed online https://www.sciencedirect.com/science/article/pii/S2237936317300400

Disclaimer:

“The content of this publication has been developed by a third party content provider who is clinicians and/or medical writers and/or experts. The information contained herein is for educational purpose only and we request you to please consult a Registered Medical Practitioner or Doctor before deciding the appropriate diagnosis and treatment plan.”