I am doctor Vaibhav Kapoor. I am a consultant laparoscopic and laser surgeon at Max hospital, Gurgaon.
Today I will be discussing about new modalities in the treatment of various Anorectal conditions like piles, fissure, fistula these are one of the most common problems and with the large population you know suffering from these conditions. People generally who suffer from these conditions of Piles and fissures fistula complain of either bleeding in the rectal area which is generally fresh before or after they pass stool or they have severe pain while they pass stools and the pain generally lasts for few hours after they pass stools or they complain of some pus discharge in that region and also swelling in the anal region. So we mainly discussing the new modalities in the treatment of Piles but before that, I just give u small note on what actually these conditions are. Anorectal conditions can be classified as piles, fissure, fistula these are one of the most common things, so, what are piles? Piles are basically inflamed veins or tissues in the lower rectum and anal canal, there are various causes but the most common cause of it is chronic constipation, why does it happen lack of fibers in the food, eating junk food you know not taking a lot of water they are one of the primary causes. Then in women especially during pregnancy they can have piles, symptoms are like I told earlier are mixed these condition either patient can have fresh bleeding when they pass stools or they can have pain or some sort of the swelling in the anal region. So diagnosis is very simple the surgeon just needs to examine your lower rectum and he can come on to the diagnose it. So how do we treat it, the conventional treatment as everybody knows was open surgery for piles so it led to heavy wounds, dressing for at least a month, people not used to go out fearing that wounds will discharge. Now with the help of new technologies and with the help of laser what we are doing is the laser ablation of ambroid and fissures, it’s the diode laser and there are great advantages up over conventional surgery. It's a simple 15 to 20 minutes surgery almost painless and there were no dressings to be done in the postoperative period and patients are generally discharge on daycare. So I will be now discussing about how with the help of lasers we treat piles, so laser energy is basically delivered to the pile base marks and you know it causes instant shrinkage of the piles and then over the period of 10 to 15 days the entire pile marks should end. The advantages of using laser is it's a simple 10 to 15 minute surgery, done under either general anaesthesia or initial anaesthesia, patients are generally discharged during a daycare or they kept for maximum 24 hours, post surgery you will just your antibiotic and pain Killers that’s it, it's relatively painless surgery as compared to open, there are no wounds in the area, there no dressing to be required and even start as early as you know from next day your all routine work. Post surgery you generally gave some sort of diet chart which will help you by constipation and some pelvic floor exercises will be taught to you which will help you prevent constipation in long run. Another question which happens is that after the surgery piles generally reoccur, later with conventional surgery the chances of reoccurrence was there with the advent of laser surgery and the minimal tissue damage the chances of reoccurrence have gone down, that is one of the most advantageous things if you are with a laser.
And secondly post-surgery care which we generally don't do so that will be given to you which will help you in avoiding constipation in long run and hence these things don’t reoccur and to get any further information you can contact me through Lybrate. You will be having entire details about how the laser surgery works and you can read about piles and fissures on that.