According to Dr. Mir Asif, a renowned proctologist and laparoscopic surgeon in Gurgaon, laser excision is a minimally invasive surgical technique employed for the treatment of certain anal disorders such as sentinel tags, fissures, anal fistulas, and haemorrhoids. In this surgical video, you can see that I am utilising laser treatment, a concentrated beam of light to vaporise the afflicted tissue. This approach minimises discomfort, bleeding, and recovery time in comparison to conventional surgical procedures for patients.

Understanding the different types of conditions 

1. Sentinel tag: A diminutive, osseous proliferation that frequently forms in close proximity to the anus, commonly seen in conjunction with an anal fissure.

2. Anal Fissure: A small rupture or incision in the anal canal’s epithelial lining, frequently resulting in discomfort and blood loss.

3. Haemorrhoids: Enlarged veins in the anus and rectum, leading to pain and internal bleeding. The rectum is the terminal segment of the large intestine that articulates with the anus, the orifice at the end of the digestive tract via which feces exit the body. Furthermore, these structures also include anal cushions, among several others. Anal cushions housed within the anal canal are typically located at the 3, 7, and 11 o’clock positions.

Advantages of Laser Excision: Why We Use It Frequently

1. Laser technology is very precise, resulting in minimal pain and bleeding and minimising postoperative discomfort by causing less injury to surrounding tissues in the patient.

2. Faster recovery: Within a few days, patients frequently resume their daily activities.

3. Decreased risk of scarring: Laser excision can reduce the risk of scarring, thereby enhancing cosmetic results.

4. Outpatient procedure: Laser treatment often requires no overnight hospital stay.

During Procedure Overview

1. Preparation: You need to typically be sedated or anaesthetised for the procedure after being instructed by our medical team.

2. Laser application: As you can see in this surgical video, the laser beam vaporises the affected tissue during the procedure without seriously harming the surrounding areas.

3. Closure: If necessary, we may close the area with sutures after the surgery or allow it to heal naturally. In this video, we also used ICE to alleviate the effects of laser heating.

Postoperative Care

1. Pain management: After the surgery, we prescribed over-the-counter or prescription pain medications to help manage discomfort.

2. Hygiene: Proper hygiene practices are the most important thing to keep in mind. Proper hygiene practices are essential to prevent infection and promote healing.

3. Diet: As per our suggestion, a fibre-rich diet can help prevent constipation and strain on the anal area.

It’s important to consult with a qualified healthcare professional who is majorly experienced in laser surgery to determine if laser excision is the right treatment for your specific condition. They can assess your symptoms, medical history, and overall health to provide personalised recommendations.

Would you like to learn more about laser excision or have any questions about these conditions? Ask us

How to know if I have Piles?

Beginning Symptoms Of Piles -Piles or hemorrhoids can affect anyone but you are more prone to get piles when you get older. Persistent constipation for spending a long time in the washroom can further increase your chances to be affected by hemorrhoids. Mostly caused by poor lifestyle & dietary habits, and strain on anal muscles, piles comes with a set of certain common symptoms.

Spotting bright red blood in stool is one of the first and the most common symptom most patients witness, but there are several other symptoms of piles that you must not ignore.

Piles of an initial stage can be treated with medications and lifestyle changes. But if you ignore the symptoms, the case may become complex that you might need an operative surgery to get rid of them. To avoid such a situation, you must know of the following symptoms of piles.

Common symptoms of piles

1. Bleeding during bowel movement

As mentioned above as well, seeing bright red blood in the stool or drips in the toilet or in the stool is the first sign that will grab your attention. If the bleeding occurs only once, it is possible that you had a spicy meal. However, if the bleeding occurs for more than two consecutive days, you must see the doctor.

2. You feel a lump in or around the anus

There are two types of hemorrhoids – internal and external. The latter comes with a swollen lump-like structure in or around your anus that pain excessively while passing the stool. The lump is usually hard and painful that may contain coagulated blood. The lump mostly hangs downwards outside of the anus that might need to be pushed back inside after passing the motion.

3. Irritation and high-grade pain while passing the motion

If you regularly feel pain and discomfort during a bowel movement, it is possible that you are suffering from internal piles.

4. Feeling bowels even after excreting out the stools

Most piles patients experience the urge to poop again or feel that the bowels are still full even after passing the motion.

5. Sore and itchy skin around the anus

Piles necessarily do not always come with a bulging-out lump, but can also have symptoms like sore, red and itchy skin around the anus.

6. Slimy mucus discharge from the anus after passing the stool

Another prominent symptom of piles is the discharge of mucus after the bowel movements.

Avoiding these symptoms can aggravate the piles and further create complications like blood loss, infection, etc. I suggest you take utmost care of your diet and lifestyle so as to keep piles at bay.

In case you have any of the above-mentioned symptoms, waste no more time, and visit a doctor.