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Laser Treatment For Piles
General Surgery

Comprehensive Overview of Laser Treatment for Piles

admin Apr 26, 2024

Introduction

Laser treatment for piles is a non-invasive surgical technique that utilizes high-intensity laser beams to shrink the piles (the dilated veins in the rectum that cause extreme discomfort and bleeding). While lifestyle alterations are a significant part of the piles’ treatment, an individual may require medical intervention in critical cases. Most treatment options are invasive and painful, with a long recovery process. Laser treatment allows an individual to get rid of piles via a painless, quick procedure with a fast recovery. 

Preparation for a Laser Treatment for Piles

  • The patient’s medical and personal history will be discussed.
  • The surgeon will conduct a rectal examination by inserting gloved and lubricated fingers inside the anus to understand the pile’s location.
  • The patient will be advised to stop smoking and avoid alcohol.
  • The surgeon will recommend the following tests:
  • Anoscopy: This test comprises a tubular device fitted with a camera that aids in observing the anus and rectum.
  • Flexible sigmoidoscopy: In this procedure, a tube called a sigmoidoscope is inserted into the anus to aid the surgeon in visualizing the anus and rectum. 
  • Routine tests are also performed, such as complete blood count, X-ray, and urine tests.
  • The patient will be suggested to fast for 8–12 hours before the surgery.
  • The patient can go back to their home on the same day as the surgery. 

How is Laser Treatment for Piles Performed?

  • An enema will be given to the individual 2 hours before the start of the procedure to facilitate emptying the bowels.
  • The patient will be asked to lie in a lithotomy position (on the back with legs wide apart) as this position gives an excellent view of the surgery.
  • Patients will be administered anesthesia to numb them to the pain.
  • A proctoscope will be put into the anus. 
  • This tube is fitted with a Doppler probe, which aids in locating the end arteries that supply blood to the piles. 
  • Once the artery is discovered, a laser fiber is put into the anus through the same tube.
  • The surgeon then employs laser shots on the recognized piles. 
  • Laser aids in contracting the blood vessels that supply the piles. It leads to the discontinuation of the blood supply, diminishing the piles. 

After a Laser Treatment for Piles: What to Expect

  • Laser surgery for piles requires approximately half an hour to finish. Patients can go home the same day once the effects of anesthesia wear off. 
  • Recovery from the procedure takes approximately 6 to 8 weeks. 
  • Once the surgery is completed, the patient will be moved to a recovery room where vitals, i.e., temperature, blood pressure, and respiratory rate, will be observed.
  • The effects of anesthesia will take approximately 6 hours to wear off. Patients may experience pain in the head during this period.
  • During the process, the bladder and rectum muscles go into spasm. So, the patient may have trouble passing urine. If needed, a catheter may be placed to evacuate the bladder.
  • The patient will experience pain and blood in stools for one week to 10 days after the surgery.
  • Once vitals are stable, the patient will be discharged and sent home.

While being discharged, the patient will receive a comprehensive list of instructions regarding post-operative wound care.

  • The patient can resume their daily routine after a day or two of rest. But they should refrain from overexerting themselves.
  • Take frequent Sitz baths.
  • Take the specified stool softeners frequently to keep stools soft.
  • Do not hold stools for long. 
  • Avoid utilizing tissues after bowel movements.
  • Avoid spicy, oily, and salty food. Include a lot of fibrous food in your diet.
  • Stay hydrated by drinking a lot of water.

If the individual faces complications post-laser treatment, they should seek immediate medical attention!

 

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