Hemorrhoids (also known as “piles”) are dilated or bulging veins of the rectum and anus, caused by increased pressure in the rectal veins. Hemorrhoids may cause symptoms that are: bleeding, pain, prolapses, itching, spoilage of feces, and psychological discomfort. There are many methods for the treatment of hemorrhoids like, medical therapy, cryotherapy, rubber band ligation, sclerotherapy, laser, and surgery. Hemorrhoids are enlarged blood vessel nodules in the lower part of the rectum.

Congenital weakness of venous walls (weak connective tissue which may be the result of malnutrition), outflow disturbances from blood vessels of the small pelvis, and a sedentary lifestyle stimulate constipations which, in turn, create conditions for hemorrhoid development and progression, as bowel movement requires a lot of effort and strain.

Diode laser energy delivered into small to median hemorrhoidal piles caused little pain and led to a partial to complete resolution within a short time compared to an open hemorrhoidectomy.

Optimal Wavelength 1470nm

1470nm wavelength is preferentially absorbed by water 40 times more than 980nm wavelength.

It is superb for incision and excision of soft tissue in critical areas. The peak of water absorption at 1470nm enables precise cutting with good coagulation of soft tissue. As a result of this unique tissue absorption, procedures can be completed at lower energy dosages leading to less thermal trauma and better healing

Absorption Coefficient of 980nm 1470nm Laser in Proctology

Laser Treatment of Hemorrhoids

Under local anesthesia/ general anesthesia, laser energy is delivered by radial fiber directly to hemorrhoidal nodes and they will obliterate from inside and this will help to preserve mucosa and sphincter structure to an extremely high precision. Laser energy is used to close off the blood supply nourishing the abnormal growth. The laser energy induces the destruction of the venous epithelium and simultaneous obliteration of the hemorrhoidal pile by a shrinkage effect.

The advantage of using laser compared to conventional surgery is, fibrotic reconstruction generates new connective tissue, which ensures that the mucosa adheres to the underlying tissue. This also prevents the occurrence or recurrence of a prolapse.

Laser Treatment of Fistula

Under local anesthesia/ general anesthesia, laser Energy is delivered, via radial fiber, into the anal fistula tract and is used to thermally ablate and close off the abnormal pathway. The laser energy induces the destruction of the fistula epithelium and simultaneous obliteration of the remaining fistula tract by a shrinkage effect. The epithelialized tissue is being destroyed in a controlled way and the fistula tract collapses to a very high degree. This also supports and accelerates the healing process.

The advantage of using a diode laser with radial fiber compare to conventional surgery is, it gives good control to the operator, and also allows use in convoluted tracts, with no excision or splitting Independent of the length of the tract.

Laser Treatment in Proctology

Applications of Laser Treatment in Proctology

  • Piles/Hemorrhoids, laser hemorrhoidectomy
  • Fistula
  • Fissure
  • Pilonidal Sinus /Cyst

Clinical Advantages of Proctology Laser Treatment

  • The average operative time is less than conventional surgical procedures.
  • Intraoperative as well as postoperative bleeding is significantly less.
  • Postoperative pain is considerably less.
  • Good and rapid healing of the operated area with minimal inflammation.
  • Quicker recovery and early return to a normal lifestyle.
  • Many procedures can be done under local or regional anesthesia.
  • The complication rate is much less.

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