Best Piles Treatment Specialist - Dr. Narendra Chopde

1. Laser Treatment Of Piles, Fissure, Fistula And Pilonidal Sinus Piles, Fissure, Fistula and Pilonidal Sinus are the most common diseases which are spreading very rapidly. This is where the field of proctology and specialists, called proctologists, come into the picture. Laser proctology refers to the treatment of diseases of the colon, anus, and rectum via laser application. Hemorrhoids, fistula, fissures, polyps, and Pilonidal sinuses are a few diseases that are effectively treated using laser techniques. Laser treatment for piles and fissures is increasingly used to successfully treat them in both men and women. 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.

2. 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

3. ● ● 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 or 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 are excessive arterial blood flow, causing dilations in the hemorrhoidal plexuses and, consequently congestion. Enlarged veins that are located at the junction of the 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. An 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 the buttocks above the sacrum. A painful abscess can form if the cyst and overlying skin become infected. ● ● ● What are the different laser surgeries available? Laser treatments for piles in Pune include: ● ● 1. Hemorrhoidal LASER Procedure (HeLP): It is minimally invasive laser surgery for hemorrhoids that does not require anesthesia. The procedure involves the Hemorrhoidal LASER Procedure (HeLP) Laser hemorrhoidoplasty (LHP)

4. identification of terminal branches of the rectal artery using Doppler, followed by photocoagulation of these branches using a LASER diode fiber (1470nm). 2. 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 the 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 submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue and preventing the recurrence of prolapse. of laser energy reaches the 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 treatments for fistula in Pune. 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 lateral internal sphincterotomy (LIS). During the surgery, a small portion of the sphincter muscle is removed. This helps to reduce pain and pressure and allows the healing of fissures.

5. 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 surgeons, 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