Laser Proctology

Laser proctology is the surgical treatment of diseases of the colon, rectum, and anus using a laser. Common conditions treated with laser proctology include hemorrhoids, fissures, fistula, pilonidal sinus, and polyps. The technique is increasingly being used to treat piles in both women and men.

Laser (Light Amplification by Stimulated Radiation) is a light beam of high energy. This light beam is used to burn or cut the abnormality, which was the reason for the surgery. Present, laser techniques are very advanced and much safer; they leave no scars, are bloodless and less painful. They also cause lesser complications.

Laser Surgeries for Piles

The surgical treatment of fissure is known as Lateral Internal Sphincterotomy (LIS). This procedure involves stretching or cutting the muscles that surround the anus. This procedure is usually quite painful and is feared by patients. However, when performed with the use of a laser, the procedure is completely painless & bloodless.

Laser treatment for fissure takes roughly about 30 minutes. The fissure surgery by laser is done as a daycare procedure and the patient gets discharged within 24 to 48 hours. Laser treatment for fissure is a minimally invasive technique and the patient hardly experiences any pain. It is the permanent solution for fissure, but the patient is required to follow all given instructions so that all the complications are kept at bay. A fissure surgery by laser provides instantaneous relief. Laser treatment for fissure is completely safe, with no damages to either the skin or any of the organs of the patient.

Procedure for laser treatment for fissure.

The procedure for the laser treatment for fissure is of two types

The CO2 Laser technique

This technique involves the use of co2 laser
The laser treatment for fissure begins with the application of local anaesthesia.
The infrared radiation from the laser is then used to increase the blood flow to the area of the fissure. This results in the proper healing of the fissure.

The use of a CO2 laser is because it offers a fixed area of concentration and greater control of the surgery. Also, with the use of a CO2 laser, there’s a lesser chance of recurrence of the fissure compared to traditional surgeries.

Internal Sphincterotomy

There second technique for laser treatment for fissure is known as sphincterotomy. This is carried on the internal anal sphincter muscle, which is a part of the circular internal muscles that control the passage of faeces. The internal anal sphincter is one of the two muscles that make up the anal sphincter.

In this surgery, the sphincter is either partially divided with the help of a scalpel to reduce spasm and the resting pressure, without upsetting the use of the sphincter. This improves blood supply to the fissure area and helps it heal faster.
This technique is usually recommended for its simplicity and the fact that it causes a smaller wound. It’s highly effective with a success rate of around 95%.

However, if carried out by an inexperienced surgeon it can cause loss of control of sphincter tone.

Benefits of laser treatment for fissure

  • It involves very low pain.
  • Quick recovery time.
  • An easy procedure.
  • Faecal incontinence or faecal leakage is dodged.
  • Little to no bleeding.
  • Post-surgery care and pain are too less.
  • Return to normal activity is usually within 24 hours.
  • No cuts or open wounds.