Piles (Haemorrhoids)

1. Laser haemorrhoidectomy is a procedure that employs laser energy for the treatment of haemorrhoids.
2. Major advantage of it being- painless, involve no cuts and provides relief in few hours because it is performed using <1mm laser fiber.
3. Using laser for this procedure enables coagulation of haemorrhoidal vessels without any residual wound.
4. Patient suffers less post-operative pain.
5. He can also return to his normal activities within the span of few days.
6. Little or no post-operative dressing is required.
7. Problems in passing stools after laser surgery are less likely.
8. It can also be done in post CABG (cardiac), pregnant & lactational patient.
9. As there is no sphincter damage, chances of loss of stool control (incontinence) are absent.
10. Recurrence of Piles is uncommon after laser treatment.

Anal Fistula

1. Excellent Healing rates.
2. Healing rate with laser in patients with anal fistula is high.
3. Post-operative dressing is required only for a short duration of time.
4. Post-operative bleeding is less likely.
5. Fewer complications have been observed.
6. It can also be done in post CABG (cardiac), pregnant & lactational patient.
7. As there is no sphincter damage, chances of loss of stool control (incontinence) are absent.
8. Recurrence of fistula is not very common after laser treatment.

Anal Fissure

1. Persistent fissures may require a lateral internal anal sphincterotomy.
2. It is a minor, day care surgery which is highly effective as a treatment for fissure.
3. Ecurrence rates are quite low after laser surgery.
4. This surgery helps in quicker healing of fissure and also gives symptomatic relief by decreasing pain and spasm.
5. Need for postoperative dressing is less likely.
6. It can also be done in post CABG (cardiac), pregnant & lactational patient.
7. chances of loss of stool control (incontinence) are very low.

Pilonidal Sinus

1. Laser treatment is the best treatment for pilonidal sinus.
2. There is negligible pain and faster recovery with no stitches.
3. No open wound remains after operating with <1mm laser fiber hence the need for long term post-op dressing is less likely.
4. Patient can be discharged within 6 – 8 hrs of surgery.
5. Recurrence of Pilonidal sinus is less likely after the procedure.

WHY LASER FOR PILES, FISTULA, FISSURE, PILONIDAL SINUS?

1. Long term post-op dressing is not required.
2. Complaint of post-op pain is very low.
3. Good post-op results.
4. Superior operator control for Fistula.
5. Can be done in Local Anaesthesia.
6. It is a day care procedure with minimum post-op discomfort.
7. There are very few chances of bleeding as there is very less tissue damage.
8. Patient recovers very quickly.
9. Patient satisfaction is very high.
10. There is no loss of control over stool, i.e. no incontinence.

Consult at Harsh Hospital and Maternity Home regarding any surgery and further details.