proctology

Laser in Proctology

Laser is a growing and highly requested colorectal treatment modality with key indications in the treatment of:

Haemorrhoid Laser Ablation

What are Haemorrhoids?

Haemorrhoids, also known as piles, are swollen and inflamed veins around the anus or rectum. There are two types of haemorrhoids:

  • Internal: these form inside the rectum
  • External: these form under the skin around the anus

Internal haemorrhoids are categorised into Grade 1, Grade 2, Grade 3, or Grade 4 depending on their degree of prolapse.

Haemorrhoid grade 1
Grade 1
Haemorrhoid grade 2
Grade 2
Haemorrhoid grade 3
Grade 3
Haemorrhoid grade 4
Grade 4
What is haemorrhoid laser ablation?

Haemorrhoid laser ablation or laser haemorrhoidectomy is an extremely minimally invasive approach for the treatment of grade II, III and IV haemorrhoids.

How does it work?

The procedure is usually performed under local anaesthesia or sedation. The laser fibre is inserted into the haemorrhoid and the energy is applied, this causes the mass to shrink.

How long does it take?

The procedure usually takes around 30 minutes.

Why laser haemorrhoid ablation?
  • No incision required
  • Painless treatment
  • No bleeding
  • Short recovery time
  • Performed in an outpatient setting or one-day surgery
  • No requirement for staples, rubber bands or threads
During the procedure?
  • The patient will be placed in the lithotomy position (on their back with legs raised).
  • Anaesthesia is administered (either local or sedation)
  • The optical fibre is inserted into the haemorrhoidal mass and the laser energy is applied for the appropriate length of time.
After the procedure?

Haemorrhoid laser ablation is considered an outpatient procedure, meaning most patients will go home the same day after a follow up with the consultant.

Restrictions after the procedure?

Due to the minimally invasive nature of the treatment is it expected that the restrictions are minimal.

Possible complications of this procedure?

The procedure has a possible recurrence rate of 10%, however post-operative pain and recovery time is far less than alternative excision treatments.

Fistula Laser Ablation

What is an anal fistula?

An anal fistula is a small tunnel that runs between the skin and the anal opening. They usually occur due to an infection that has caused an abscess to form. The tunnel is created when the infected content of the abscess drains to the exterior.

What is laser fistulectomy?

Laser fistulectomy is a minimally invasive treatment for anal fistulas. The procedure is usually performed under local anaesthesia or sedation. (Stage 1) The tract is opened and cleaned with 3% hydrogen peroxide solution. (Stage 2) The laser fibre is inserted from the external opening of the fistula to the internal opening. (Stage 3) The laser fibre is then slowly removed whilst applying the laser energy. This causes the tunnel to close.

Laser anal fistula treatment stage 1
Laser anal fistula treatment stage 1
Laser anal fistula ablation stage 2
Laser anal fistula ablation stage 2
Laser anal fistula ablation stage 3
Laser anal fistula ablation stage 3

 

How long does it take?

The procedure usually takes around 30 minutes.

Why laser fistulectomy?
  • No incision required
  • Painless treatments
  • No risk of damage to the mucosa and sphincter
  • Performed in an outpatient setting or one-day surgery
  • Short recovery time, a quick return to normal activity
  • Low risk of complications
During the procedure?
  • The patient will be placed in the lithotomy position (on their back with legs raised).
  • Anaesthesia is administered (either local or sedation)
  • The optical fibre is inserted to the end of the anal fistula. Then it is removed slowly whilst the laser energy is applied for the appropriate length of time.
After the procedure?

Laser fistulectomy is considered an outpatient procedure, meaning most patients will go home the same day after a follow up with the consultant. Please consult your doctor for any pain relief and how to proceed with your regular activities.

Restrictions after the procedure?

Due to the minimally invasive nature of the treatment is it expected that the restrictions are minimal. 

Possible complications of this procedure?

The procedure has a success rate of 82% with traditional excision treatments being used in cases of fistula recurrence.

Pilonidal Sinus Laser Ablation

What is Pilonidal Sinus?

Chronic subcutaneous abscess in the natal cleft, which spontaneously drains through the openings. They usually occur due to folliculitis and other hairs are sucked into the skin due to gluteal motion. Symptoms include localised pain, reddening of the skin and discharge of pus or blood from an opening in the skin.

What is laser pilonidal sinus treatment?

Laser pilonidal sinus treatment s a minimally invasive method for anal pilonidal cysts.

How does it work?

The procedure is usually performed under local anaesthesia or sedation. The tract is opened and cleaned, then the laser fibre is inserted from the farthest opening of the tract to the end of the tract. Once the laser fibre reaches the end of the sinus tract it is removed slowly whilst applying the laser energy. This laser energy causes the tract to close.

How long does it take?

The procedure usually takes around 30 minutes.

Why laser sinus pilonidal excision?
  • No incision required
  • Painless treatments
  • No risk of damage to the mucosa and sphincter
  • Performed in an outpatient setting or one-day surgery 
  • Short recovery time, a quick return to normal activity
  • Low risk of complications
Before the procedure?

Your consultant will provide a specific pre-procedure protocol for you to follow.

During the procedure?
  • The patient will be placed in the prone position (on their front).
  • Anaesthesia is administered (either local or sedation)
  • The orifices of the sinus track are opened and then a curette is used to remove debris from the tract.
  • 3% hydrogen peroxide is used to wash the tract thoroughly.
  • The optical fibre is inserted to the end of the sinus tract. Then it is removed slowly whilst the laser energy is applied for the appropriate length of time.
After the procedure?

Laser sinus pilonidal excision is considered an outpatient procedure, meaning most patients will go home the same day after a follow up with the consultant. 

Restrictions after the procedure?

Due to the minimally invasive nature of the treatment is it expected that the restrictions are minimal.

Possible complications of this procedure?

The procedure has a high success rate (87.5%). However, there is still a recurrence rate of 3% with complications including haematoma or abscess.

 

 

For more information about the laser devices and attachments we supply please do not hesitate to get in touch!