Cancer Specialists in Bangalore

Anorectal Conditions Treated with Laser Surgery

1. Hemorrhoids: Laser Hemorrhoidoplasty (LHP)This procedure is used for the treatment of internal hemorrhoids. A laser fiber is introduced into the hemorrhoidal pile, and laser energy is delivered, causing the hemorrhoid to shrink. It cuts off blood flow to the hemorrhoidal vessels, leading to reduced shrinkage when coagulation occurs and later fibrosed

1. Strong Family History: Genetics can strongly influence how body stores fat and how it burns calories, and how it regulates hunger and satiety.
2. Gene Variations: Specific genes, such as those affecting leptin (a hormone that increases appetite), may be altered in some individuals, leading to increased hunger or impaired metabolism. Many genes related to fat absorption and metabolism, energy homeostasis, and carbohydrate responsiveness, and genes regulating energy intake and feeding behaviour

Benefits Minimal bleeding, less post-operative pain, and quicker recovery compared to conventional hemorrhoidectomy.

2.Anal Fissures

1. Chronic anal fissures can be treated with laser surgery ( LASER LIS) by carefully removing the fissure tissue and promoting healing. The laser helps reduce muscle spasms in the anal sphincter and promotes blood flow to the area.
2. Benefits: Less pain, quicker healing, and reduced risk of infection.

3.Fistula-in-Ano:

1. Many types of Laser, like Laser Ablation of Fistula Tract (LAFT), FILAC ( fistula laser closure In this procedure, a laser probe is inserted into the fistula tract, and laser energy is used to ablate the tract from within. This promotes healing without extensive cutting of tissues.
2. LIFT with LASER/ Distal laser ptoximal ligation
3. DLPS ( Distal laser proximal sloft)
4. Fixicision (fistula coring with proximal SLOFT)
5. VAAFT with LASER
6. Benefits Minimal tissue damage, reduced recurrence rates, quicker recovery, and preservation of anal sphincter function (important for continence).

4.Pilonidal Sinus:

1. Laser surgery can be used to treat pilonidal sinus disease by ablating the sinus tract and promoting closure. It is particularly beneficial for recurrent cases where traditional surgery has failed..
2. Benefits: Faster healing, less pain, and a lower risk of recurrence.

5.Anal Warts (Condyloma):

1. Laser therapy is effective for the removal of anal warts caused by the human papillomavirus (HPV). The laser precisely targets the warts, causing them to vaporize, while minimizing damage to surrounding tissues.
2. Benefits: Precision removal, reduced risk of scarring, and minimal bleeding.

6. Rectal Polyps:

1. Small benign rectal polyps can be removed using laser surgery. The laser precisely cuts the polyp without the need for extensive surgery.
2. Benefits: Faster procedure, minimal bleeding, and reduced complications.

What are the Benefits of Laser Surgery for Anorectal Conditions:

1. Minimally Invasive

1. Laser surgery causes minimal damage to surrounding tissues compared to traditional surgery, leading to a quicker recovery.

2. Less Bleeding:

1. The laser seals blood vessels as it cuts, leading to significantly less bleeding during and after the procedure.

3. Reduced Pain:

1. Laser surgery is associated with less post-operative pain due to reduced tissue trauma and faster healing.

4. Faster Recovery:

1. Patients usually experience quicker recovery times and can return to normal activities sooner.

5. Lower Risk of Infections:

1. The laser sterilizes the tissue during surgery, which reduces the risk of post-operative infections.

6. Daycare Procedure:

1. Most laser surgeries for anorectal conditions are performed as outpatient or daycare procedures, meaning patients can go home the same day.

7. Reduced Recurrence Rates:

1. For conditions like fistula-in-ano, laser treatment can reduce the chances of recurrence compared to traditional methods.

Procedure and Recovery:

Procedure and Recovery

1. Pre-procedure: The patient may undergo a few diagnostic tests to assess the severity of the condition. In some cases, bowel preparation may be required before the procedure.
2. Procedure: Laser surgery is typically performed under local, regional, or general anesthesia, depending on the condition. The surgeon uses a specialized laser fiber to treat the target tissue with precision.
3. Post-procedure: Most patients experience mild discomfort after surgery, which is manageable with pain medications. The recovery period is shorter than traditional surgery, and most patients can resume normal activities within a few days to a week, depending on the condition treated.
4. Follow-up: Regular follow-up visits with the surgeon are important to ensure proper healing and monitor for recurrence.

What are Risks and Considerations:

While laser surgery has many advantages, there are some risks and considerations

1. Mild pain and swelling post-surgery
2. Burns to surrounding tissue (rare with experienced surgeons)
3. Recurrence of the condition, although laser treatments often have lower recurrence rates compared to conventional methods

Laser surgery for anorectal conditions offers a modern, less invasive option for patients, particularly those looking for faster recovery with less discomfort. However, it’s important to consult with a specialist to determine if laser treatment is suitable for a specific condition.