Proctology

Proctology Workshop using IMDSL Lasers

The field of proctology, a specialized branch dealing with rectal and anal disorders, is witnessing a remarkable transformation thanks to advancements in surgical techniques. Spearheading this evolution is Dr. Ankur Bansal, a renowned surgeon from India celebrated for his pioneering use of modern laser-based surgeries. Collaborating with the prestigious IMDSL, Dr. Bansal is set to host an enlightening workshop poised to redefine the landscape of proctological practices.

Scheduled for the 27th of January 2024 at the esteemed S.R. MEDICAL INSTITUTE & RESEARCH CENTRE in Agra, this workshop promises an in-depth exploration of cutting-edge procedures and insights into the realm of proctology. Dr. Bansal, a luminary in the field, will be conducting live demonstrations and providing comprehensive training utilizing the IMDSL workshop platform.

The agenda for this transformative event encompasses a diverse range of topics crucial to understanding the modern facets of proctology:

  1. Basic Physics of LASER & its Applications in Proctology: Delving into the fundamental principles that underpin the use of laser technology in proctological procedures.
  2. LASER Use and Mechanics in Proctology: Unraveling the intricate mechanics and techniques employed in leveraging laser technology for proctological interventions.
  3. LASER in PILES: Exploring the specific applications and efficacy of laser treatments in addressing piles, a common yet often debilitating condition.
  4. LASER Application in Anatomical Basics in Piles/Fissure/Fistula/Pilonidal: Examining how laser applications align with the anatomical complexities associated with various rectal and anal disorders.
  5. Machine Live Demonstration and Hands-on Experience: Offering an invaluable opportunity for attendees to gain practical insights through live demonstrations and hands-on sessions focused on treating conditions like Piles, Fissure, Fistula, and Pilonidal.

This workshop isn’t merely a theoretical exploration but a hands-on, immersive experience aimed at empowering medical professionals with the latest advancements in proctology. Participants will have the privilege of witnessing and actively engaging in the use of state-of-the-art laser technology under the guidance of a trailblazer like Dr. Ankur Bansal.

For those seeking to be part of this transformative event and revolutionize their approach to proctological practices, the call to action is clear: Contact 9350014462 to reserve your spot or download the workshop brochure to delve deeper into the invaluable insights and experiences awaiting you.

Don’t miss this opportunity to elevate your expertise in proctology and embrace the future of surgical innovation with Dr. Ankur Bansal and IMDSL.

đź“… Date: 27th January 2024

đź“Ť Venue: S.R. MEDICAL INSTITUTE & RESEARCH CENTRE, LAURIES COMPLEX, NAMNER RD, NEAR SAI KI TAKIYA X-ING, KATLUPUR, RAKABGANJ, Agra

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IMDSL Offers a great deal on Proctology Lasers

In a journey marked by innovation and progress, IMDSL has reached a remarkable milestone: a decade of reshaping the medical laser landscape across India. As we commemorate this momentous occasion, we reflect on our achievements, celebrate our partnerships, and unveil exclusive anniversary offers that embody our commitment to excellence in healthcare.

Celebrating Milestones:

Over the past ten years, IMDSL has not just grown; we’ve revolutionized healthcare practices. From our modest beginnings with dental accessories, we’ve expanded into vital medical laser fields, including Proctology, ENT, Cosmetic Gynecology, Ortho, Neuro, and Physiotherapy. This growth has seen us install advanced lasers in 3000 hospitals, impacting over 5000 installations across the country. Additionally, our technology has reached the skilled hands of 6000 dedicated doctors, contributing significantly to improved patient care and advanced medical practices nationwide.

As we acknowledge our achievements, we extend heartfelt gratitude to our valued clients, partners, and the healthcare community. Your trust and support have been instrumental in our journey of growth and innovation. Your endorsement fuels our dedication to advancing healthcare standards and serving patients with precision and care.

Anniversary Offer:

To celebrate this milestone, we’re thrilled to unveil exclusive anniversary offers. Elevate your medical practice with added wavelength and power in our proctology laser devices – the Aqualase at Rs. 7 Lakh + GST and the Trident-P at Rs. 9 Lakh + GST. And there’s more! Alongside standard accessories, enjoy an additional one at no extra cost! This limited-time offer is valid until January 15, 2024. Reach us at 9350014462 to seize these unbeatable deals and revolutionize patient care with IMDSL’s cutting-edge technology.

imdsl proctology laser offer price IMDSL-Proctology Laser Offer1

Join the Celebration: Join us in celebrating a decade of medical laser innovations. As we look ahead, our commitment remains unwavering – to continue pushing boundaries, enhancing healthcare standards, and contributing meaningfully to the medical field.

At IMDSL, our journey is not just about the past but also about the future, filled with innovation, growth, and a relentless pursuit of excellence. Thank you for being an integral part of our remarkable journey. Here’s to a decade of innovation and to many more years of serving, growing, and evolving together!

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Treating Pilonidal Sinus with Surgical Laser: A Modern Solution

Pilonidal sinus is a recurring issue that affects countless individuals. Traditional treatments have often been associated with pain, prolonged recovery periods, and high recurrence rates. However, in recent years, surgical laser technology has emerged as a revolutionary solution to address this problem effectively.

In this educational blog, we will explore what pilonidal sinus is, how surgical laser treatment works, the advantages it offers over conventional methods, and its long-term benefits.

 

Understanding Pilonidal Sinus

Pilonidal Sinus, often referred to as Pilonidal Disease, is a condition characterized by the development of a small tunnel or tract under the skin, usually near the tailbone or the natal cleft. It typically occurs in the sacrococcygeal region and can lead to recurring abscesses or infections.

Conventional Treatment vs. Surgical Laser Treatment

Conventional Treatment:

  1. Incision and Drainage: The traditional approach involves making an incision to drain the abscess, often resulting in prolonged wound healing and a high risk of recurrence.
  2. Open Excision: Some cases may require open excision, a more invasive surgery that involves removing the affected tissue, which can lead to significant discomfort and longer recovery times.

Surgical Laser Treatment:

Surgical laser treatment for pilonidal sinus is a minimally invasive and highly effective approach. The procedure involves:

  1. Anesthesia: The patient is administered local anesthesia to ensure comfort during the procedure.
  2. Laser Ablation: A surgical laser is used to ablate the sinus tract and remove affected tissue.
  3. Minimal Scarring: Surgical lasers offer precise cutting, sealing blood vessels, and reducing tissue trauma, resulting in minimal scarring.
  4. Reduced Pain: Patients typically experience less post-operative pain and a quicker recovery period.

Surgical laser treatment for pilonidal sinus

Advantages of Surgical Laser Treatment

1. Minimally Invasive:

Surgical laser treatment requires smaller incisions, reducing tissue trauma and promoting faster healing.

2. Reduced Pain and Discomfort:

Patients report less pain and discomfort compared to traditional methods.

3. Faster Recovery:

The minimally invasive nature of laser treatment allows for a quicker return to normal activities.

4. Lower Recurrence Rate:

Surgical laser treatment offers a lower recurrence rate, reducing the likelihood of future complications.

5. Minimal Scarring:

Laser technology results in minimal scarring, enhancing cosmetic outcomes.

Using Surgical LaserLaser for Proctology used by General Surgeon

Long-Term Benefits of Surgical Laser Treatment

The long-term benefits of surgical laser treatment for pilonidal sinus are promising:

  1. Lower Recurrence Rate: Reduced chances of the problem returning, providing lasting relief.
  2. Improved Quality of Life: Enhanced comfort and faster recovery contribute to an improved quality of life for patients.
  3. Cosmetic Benefits: Minimal scarring ensures better cosmetic results, reducing self-consciousness.
  4. Less Post-Operative Care: Laser treatment requires less intensive post-operative care and follow-up.

Anorectal Surgery Laser

Surgical laser treatment is a modern, effective, and minimally invasive solution for pilonidal sinus, offering numerous advantages over traditional methods. Its long-term benefits include a lower recurrence rate, faster recovery, and improved quality of life. If you or a loved one is suffering from pilonidal sinus, consider exploring surgical laser treatment as a viable option for lasting relief and a better overall experience. Always consult with a healthcare professional for a personalized treatment plan.

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A Comparative Study of Diode Laser and CO2 Laser in Proctology Surgery

Proctology surgeons often face the decision of choosing the right surgical laser for their procedures. Two popular options are Diode Laser and CO2 Laser, each with its unique features and benefits.

In this comparative study, we will explore various aspects of both Diode Laser and CO2 Laser to help surgeons make an informed choice.

Diode Laser

While our intention is to provide an unbiased comparison, we also emphasize the advantages of Diode Laser, as this blog is published on the IMDSL website, a manufacturer of Diode Lasers.

Wavelength

Diode Laser: Diode Lasers typically emit light at wavelengths between 810nm and 980nm. This wavelength range is suitable for various surgical applications, including proctology procedures.

CO2 Laser: CO2 Lasers operate at a wavelength of 10,600nm. This wavelength is well-absorbed by water, making it effective for tissue ablation and coagulation.

Advantage: Both lasers have their advantages in terms of wavelength. Diode Lasers offer versatility, while CO2 Lasers excel in precise tissue interaction. The choice depends on the specific needs of the surgery.

Tissue Interaction

Diode Laser: Diode Lasers are known for their excellent hemostasis, making them ideal for surgeries requiring minimal bleeding. They also offer good tissue penetration and coagulation.

CO2 Laser: CO2 Lasers provide precise tissue vaporization and minimal thermal damage to surrounding tissues. They are particularly effective for fine incisions and tissue removal.

Advantage: CO2 Lasers have an advantage when it comes to precision, while Diode Lasers are favored for their hemostatic properties.

Depth of Penetration

Diode Laser: Diode Lasers penetrate tissues to a depth of 4-5mm, making them suitable for various proctology procedures, including hemorrhoidectomy and fistulectomy.

CO2 Laser: CO2 Lasers have a shallower depth of penetration, making them ideal for superficial tissue treatments and precise incisions.

Advantage: Diode Lasers have an advantage for procedures requiring deeper tissue penetration.

Recovery Time

Diode Laser: Diode Laser surgeries are associated with shorter recovery times due to reduced tissue trauma and minimal bleeding.

CO2 Laser: CO2 Laser surgeries may have slightly longer recovery periods due to the precision and thermal effects on tissue.

Advantage: Diode Lasers are preferred for quicker patient recovery.

Cost

Diode Laser: Diode Lasers are generally more cost-effective compared to CO2 Lasers, making them a practical choice for many healthcare facilities.

CO2 Laser: CO2 Lasers are known to be more expensive, primarily due to their advanced technology and precision.

Advantage: Diode Lasers have a cost advantage without compromising on quality.

Maintenance

Diode Laser: Diode Lasers typically require less maintenance, with longer-lasting components.

CO2 Laser: CO2 Lasers may require more frequent maintenance due to their more complex design.

Advantage: Diode Lasers offer lower maintenance costs and less downtime.

In conclusion, both Diode Laser and CO2 Laser have their merits in proctology surgery. Diode Lasers offer versatility, effective hemostasis, and cost-efficiency. CO2 Lasers provide precise tissue interaction but come at a higher cost.

While both options have their place in the field, we, as IMDSL, advocate for Diode Lasers due to their well-rounded performance, shorter recovery times, and cost-effectiveness. Ultimately, the choice between Diode Laser and CO2 Laser should be based on the specific requirements of the surgery and the surgeon’s preferences. For versatile, efficient, and cost-effective proctology procedures, Diode Laser remains an excellent choice.

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Advancing Anorectal Surgeries: Harnessing the Power of Proctology Lasers

In the field of anorectal surgeries, the advent of laser technology has brought about transformative changes. Laser proctology has emerged as a valuable alternative to traditional methods in treating conditions such as piles, fistulas, and fissures. This blog aims to elucidate the reasons for adopting Proctology lasers, guide doctors in selecting the best proctology laser, and provide insights into the necessary setup for laser-based anorectal surgeries.

Why Choose Laser Proctology?

Advantage of Proctology Lasers

Precision and Targeted Treatment

Proctology Lasers offer exceptional precision, allowing surgeons to precisely target affected tissues while minimizing damage to surrounding healthy tissue. This precision is particularly crucial in the sensitive anorectal region.

Reduced Bleeding and Swelling

Lasers coagulate blood vessels as they cut, which leads to reduced bleeding during the procedure. This benefit is particularly advantageous in anorectal surgeries where bleeding can be a significant concern.

Minimized Pain and Discomfort

Laser surgery causes less trauma to tissues, resulting in reduced postoperative pain and discomfort for patients. This can significantly enhance patient recovery and overall satisfaction.

Faster Healing and Shorter Recovery Times

The reduced tissue damage and controlled coagulation provided by lasers facilitate quicker healing and shorter recovery periods, allowing patients to return to their normal routines faster.

Reduced Risk of Infection

The high-energy light used in laser proctology can sterilize the surgical site, reducing the risk of postoperative infections.

 

Selecting the Best Proctology Laser

Dual Wave Proctology Laser - Trident – P

Choosing the appropriate laser system for anorectal surgeries requires careful consideration of various parameters:

Wavelength

The wavelength of the laser impacts its interaction with tissues. For anorectal surgeries, lasers with wavelengths that are well-absorbed by water and hemoglobin (e.g., diode lasers) are often preferred for precise tissue ablation and coagulation.

Power and Energy Settings

The laser’s power and energy settings determine its cutting and coagulation capabilities. Opt for a laser that provides adjustable settings to cater to different surgical requirements.

Fiber Delivery System

A flexible and maneuverable fiber delivery system is crucial for reaching challenging anorectal locations. Ensure the proctology lasers system has compatible and high-quality fiber options.

Proctology Laser- Laser for Piles

Ease of Use and Ergonomics

A user-friendly interface and ergonomic design can enhance surgical precision and efficiency. Consider lasers with intuitive controls and comfortable handpieces.

Safety Features

Proctology Lasers safety is paramount. Look for systems with safety features such as adjustable aiming beams, contact and non-contact modes, and protective eyewear.

 

Setup for Laser-Based Anorectal Surgeries

Proctology Laser in Clinic

Surgical Suite

Design a dedicated surgical suite with appropriate lighting, ventilation, and equipment storage. Ensure the room is spacious enough to accommodate the laser system and surgical team.

Laser System and Accessories

Procure the chosen proctology laser along with compatible fiber optic delivery systems, handpieces, and footswitches. Regular maintenance and calibration are essential.

Patient Monitoring Equipment

Equip the suite with patient monitoring devices such as ECG monitors, pulse oximeters, and blood pressure monitors to ensure patient safety during surgery.

Sterilization and Disinfection Supplies

Maintain a stock of sterile drapes, gowns, gloves, and other supplies required for maintaining a sterile surgical environment.

Postoperative Care Facilities

Design a comfortable recovery area for patients, equipped with essential amenities and a medical team for postoperative care and monitoring.

Laser proctology presents a groundbreaking approach to anorectal surgeries, offering enhanced precision, reduced complications, and faster patient recovery. By carefully selecting the appropriate laser system and establishing a well-equipped surgical setup, doctors can embrace the future of anorectal surgical care, providing optimal outcomes for their patients.

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Laser Proctology for Surgical Treatment: Advancing Patient Care

Proctology, the branch of the medical that deals with disorders of the colon, anus, and rectum, has long posed challenges for both patients and surgeons.

PROCTOLOGY LASER

Traditional surgical procedures often require longer patient follow-up and inpatient admissions, leading to extended periods of discomfort and recovery.

However, with the advent of laser technology, there has been a significant advancement in the field of proctology. Laser therapy, specifically the use of Soft Tissue Diode Lasers, offers numerous advantages over traditional surgery, including faster recovery, reduced post-operative pain, and improved patient satisfaction.

Proctology Laser for piles

In this blog, we will explore the benefits of laser treatment for various proctological conditions, such as hemorrhoids, fissures, fistulas, Pilonidal Sinus, and more.

We will delve into the details of the laser procedures, their efficacy, and the positive outcomes they offer to patients. So, let’s dive into the world of laser proctology and discover how it is revolutionizing patient care.

Advantages of Laser Proctology

Laser proctology offers several advantages over traditional surgical methods. Let’s explore the key benefits that make laser therapy a preferred choice for proctologists and patients alike.

Laser Proctology: A Scarless, Bloodless, and Painless Solution

Laser proctology refers to the use of high-energy lasers in the treatment of proctological conditions. Unlike traditional surgical methods, laser procedures are scarless, bloodless, and virtually painless for patients.

Minimally Invasive Procedures

Laser proctology procedures are minimally invasive, meaning they require smaller incisions or no incisions at all. This results in less tissue damage, reduced bleeding, and faster healing for patients. Minimally invasive procedures also minimize the risk of complications, such as infections and scarring

Day Care Procedures

Many laser proctology procedures can be performed as day care procedures, allowing patients to return home on the same day of the treatment.

This eliminates the need for prolonged hospital stays and reduces healthcare costs. Day care procedures also offer convenience and comfort to patients, as they can recover in the familiar surroundings of their own homes

Reduced Post-operative Pain

One of the significant advantages of laser proctology is the reduced post-operative pain experienced by patients.

Laser procedures are designed to minimize trauma to the surrounding tissues, resulting in less pain and discomfort during the recovery period. This allows patients to resume their daily activities more quickly and with less reliance on pain medication

Faster Recovery Time

Compared to traditional surgical methods, laser proctology offers faster recovery times for patients. Laser procedures promote faster healing and tissue regeneration, allowing patients to return to their normal routines sooner.

This shorter recovery period not only improves patient satisfaction but also reduces the economic burden associated with extended hospital stays.

Laser Proctology in Practice

Laser proctology is a versatile treatment option that can effectively address a wide range of proctological conditions. Whether it’s hemorrhoids, fistulas, fissures, or Pilonidal Sinus, laser therapy provides targeted and precise treatment for these conditions.

The ability to treat multiple conditions with one technology makes laser proctology a valuable tool in the hands of proctologists.

Laser proctology procedures are performed by skilled proctologists using specialized laser equipment. Let’s take a closer look at some of the laser procedures commonly used in the treatment of proctological conditions.

Hemorrhoid Laser Procedure (LHP)

The Hemorrhoid Laser Procedure (LHP) is a state-of-the-art laser treatment for hemorrhoids. This outpatient procedure aims to stop the arterial flow feeding the hemorrhoidal plexus by using laser coagulation.

Benefits using Laser for Piles

By targeting the hemorrhoidal arteries, the procedure effectively reduces the size and symptoms of hemorrhoids. LHP offers faster recovery, reduced post-operative pain, and improved patient satisfaction compared to traditional surgical hemorrhoidectomy.

Laser Treatment for Fistulas

Laser treatment for fistulas involves the use of laser coagulation to close off the infected channel between the bowel and the skin near the anus.

Laser for Fistula

During the procedure, the laser energy is precisely directed to the fistula, sealing it and promoting healing. Laser treatment for fistulas offers a minimally invasive and effective solution for this proctological condition.

Laser Therapy for Fissures

Laser therapy is an advanced treatment option for fissures, providing relief from the painful symptoms associated with this condition.

By using laser coagulation, proctologists can promote healing and tissue regeneration, helping patients overcome the discomfort and pain caused by fissures. Laser therapy for fissures offers a scarless and painless solution, ensuring a more comfortable recovery for patients.

Laser Treatment for Pilonidal Sinus

The laser treatment for Pilonidal Sinus involves the use of laser coagulation to close off the small hole or gap at the top of the buttock.

PROCTOLOGY LASER FOR pilonidal sinus treatment

By removing infected tissue and promoting healing, laser therapy provides a long-lasting solution for Pilonidal Sinus. The minimally invasive nature of laser treatment ensures faster recovery and minimal discomfort for patients.

Conclusion

Laser proctology has revolutionized the treatment of proctological conditions, offering patients faster recovery, reduced post-operative pain, and improved outcomes.

With its minimally invasive nature and targeted approach, laser therapy provides a scarless, bloodless, and virtually painless solution for conditions such as hemorrhoids, fistulas, fissures, and Pilonidal Sinus.

As technology continues to advance, laser proctology will undoubtedly play an even more significant role in advancing patient care and enhancing the quality of life for individuals suffering from proctological conditions.

If you’re looking for effective and efficient treatment options for proctological conditions, consider exploring the benefits of laser therapy to determine the best course of action for your patients.

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Using Laser for Pilonidal Sinus Treatments

Pilonidal sinus is a painful condition that affects the area between the buttocks, just above the anus. It occurs when hair follicles in this area become infected and form a small abscess, which can then develop into a tunnel-like tract. Surgery is often required to remove the infected tissue and prevent further complications.

Traditionally, pilonidal sinus surgery involves making an incision to remove the infected tissue and then suturing the wound closed. However, this method can lead to a long recovery time, as well as pain and discomfort during the healing process. Additionally, there is a risk of recurrence.

Proctology LaserPROCTOLOGY LASER FOR pilonidal sinus treatment

Fortunately, advances in medical technology have led to the development of laser surgery, which can offer several advantages over traditional surgery. Here are some reasons why surgeons should consider using laser in pilonidal sinus treatment:

Reduced pain and discomfort

Laser surgery is less invasive than traditional surgery, which means that there is less pain and discomfort during the procedure and the recovery period. Additionally, laser surgery is performed using local anesthesia, which means that patients do not need to be put under general anesthesia.

Faster recovery

Because laser surgery is less invasive, patients typically experience a faster recovery time. They can return to work and normal activities more quickly than with traditional surgery.

Lower risk of recurrence

Laser surgery can be more effective than traditional surgery at removing all of the infected tissue, which can lower the risk of recurrence.

Minimal scarring

Because laser surgery is less invasive, there is less scarring than with traditional surgery. This can be especially important for patients who are concerned about the cosmetic appearance of the surgical site.

More precise

Laser surgery allows surgeons to be more precise when removing infected tissue, which can lead to better outcomes.

Undoubtedly, laser surgery is a safe and effective alternative to traditional surgery for pilonidal sinus treatment. Surgeons should consider using this method to provide their patients with a less invasive, faster, and more precise surgical experience.

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Laser Proctology Case – Chronic Piles Surgery and quick recovery

This is a case of 21 year old male who had complaint of bleeding per rectum for more than 2 years. Got partial relief with oral laxatives and few ayurvedic tablets. Since 6 months he started having pain while defecation with increasing chronic constipation.

Piles Surgery-laser proctology (3)

He also had occasional bleeding. He was treated with liq. Crimaffin, Anovate ointment, seitz bath with partial relief. So decided to go for surgery.

Proctology Laser for piles

Surgery was done recently by Dr Shrenik Vaidya (MS-General Surgeon) and was discharged on very next day. Proctology Laser has been used effectively in the entire procedure.

He started to work and attend his factory from the very next day.

Piles Surgery-laser proctology (5)

Post operatively he had little bleeding in dressing and while passing stool and little tolerable burning pain which was being taken care by simple analgesic. For last few days he has not taken any analgesic, no bleeding and passing stool normally.
He is very happy with results.

Doctor’s Profile

Dr Shrenik Vaidya MS General Surgeon

I am Dr Shrenik Vaidya MS General Surgeon practising for more than 25 years in city of Vadodara, Gujarat. I am in to field of Thoracic, Trauma and General surgery in addition to stem cell therapy for incurable diseases. For last 1 year I am using laser for proctology in different cases of different degrees of piles, fissure in ano, pilonidal sinus with great results.

 

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Use of Proctology Laser in Fistula

Anal fistula is a small tunnel, which connects an infected cavity in the anus or an abscess, to an opening on the skin around anus. Inside the anus, there are numerous glands which are responsible for creating fluids. When these glands and abscesses get clogged due to:

  1. Trauma
  2. Crohen’s disease
  3. Tuberculosis
  4. Radiations of chemotherapy related to cancer
  5. Sexually transmitted diseases
  6. Diverticulitis

It results in Anal Fistula.

fistulas- described by graphics

There are lot of ways through which it can be diagnosed. Usually, it involves looking for the fistula track, how deep it is and in which direction it is going. In lot of cases, there is drainage from the external opening.

Some fistulas are not visible on the skin surface. In that case, it will include some other tests like anoscopy and ultrasound or MRI of your anal area.

Surgery is a necessary solution with the goal of maintaining the balance between getting rid of the fistula while protecting anal sphincter muscles, which can cause fecal incontinence if damaged.

There is another technique that can also be used to cure it, which is laser closure. In this, a diode laser emitting laser of 12W at a wavelength of 1470 is used.

Use of Proctology Laser is considered more beneficial than normal surgery because conventional methods take lot of time. And the pain during these surgeries is quite high with considerable blood loss. That is why Laser Treatments for Fistula have emerged as a boon to the patients. It provides speedy recovery to the patient. Not only that, there is no chance of cross-contamination and it offers versatility.

Patient doesn’t need to go to the doctor’s office for frequent visits. It also provides excellent cutting and coagulation by limiting thermal damage to the surrounding tissues which leads to reduction in post-operative pain.

Laser treatments are less invasive and are less complicated. They are affordable and provide a sense of satisfaction to the patients.

Proctology Laser for fistula

Laser treatment with fistula offers several benefits over conventional surgery.

For simple fistula tract only proctology laser can be used at 12 W power delivering 100 joule /cm to close the tract.

In case of Complex fistula, Laser is used in combination with Closing the internal opening with suture and lower end of fistula can be lased.

This combination method not only yields better results but decreases the chances of Reoccurrence, post-operative pain and healing.

Proctology Laser for Fistula

In Ano rectal surgery, surgeons can choose 980nm, 1470nm or 980nm + 1470nm ( combination) wavelength to operate.

980nm wavelength preferably works on pigment while 1470nm works effectively in water and combination is used to target all three chromophores( Haemoglobin, Melanin & water).

So, in the conclusion, Laser operations are the best methods that can be used for curing anal fistula and have better healthcare.

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Hemorrhoids, anal fissures, and various anorectal fistulae are benign anorectal disorders that cause serious problems for many people in our nation. According to certain western studies, more than 80% of people worldwide experience benign anorectal problems at some point in their lives.
These ailments are all as old as human civilisation itself.

PROCTOLOGY LASER

Hemorrhoids, fissures, and fistulas continue to have a substantial influence on patients’ lives and are frequently encountered in clinical settings across specialties as benign anorectal illness. While anorectal abscess and fistulas are primarily treated surgically, haemorrhoids and fissures generally respond to non-operative care but occasionally necessitate surgery.

Surgeons around the world are still struggling to provide the best surgical treatment of these anorectal conditions. All these diseases are blamed for its recurrence even when the surgery is done in highly specialized centers. Some procedures increase the morbidity especially when aggressive surgical.

Procedures are attempted, i.e. incontinence after fistula surgery, large perianal wound in sinus tract excision. Role of many non-surgical methods in treating benign anorectal diseases to reduce the morbidity is well established. Injection sclerotherapy and banding in hemorrhoids, set on in fistula etc. are still in use.

Vital Lase - P (15W-980nm)-HD-980nm wavelength 

Diode laser in Proctology offers various benefits over any day to day treatment. Diode laser offers versatility, multifunctional equipment which is portable and require minimum maintenance.

Proctology laser-1470nm

How to choose Proctology Laser for your practice

Diode laser can be used for Laser tissue ablation, sterilization, coagulation and soft tissue cutting.Now there are several diode laser manufacturers and suppliers in market. How to choose laser for your practice and how to calculate the recurrence cost & maintenance cost of the machine.

  1. Tough & Sturdy machine remain stable in Indian harsh condition without any thermal breakdown.
  2. No fiber locking system
  3. Low reoccurrence cost for disposable item
  4. Service should be readily available
  5. Wavelength available in market are 980nm , 1470nm , 980nm + 1470nm
  6. Spare parts availability
  7. Technical support
  8. Diode capacity should be always more to increase life of machine.
  9. Optical fiber cable with radial and conical tips are mostly used in 4-5 patients maximum, remaining fiber can always be utilized as bare fiber for other treatments.
  10. Laser machine should be calibrated after using it for 2 year followed by once in a year.
  11. Updated software so that laser can be used in various department like, EVLT, lipolysis, PLDD, LVR, ENT.

Benefits of using Diode laser in proctology

  1. Day care treatment
  2. Minimal anesthesia
  3. No chance of cross infection
  4. Minimal invasive surgery
  5. No scar
  6. No post- operative discomfort
  7. Faster recovery
  8. No side effect
  9. Least reoccurrence
  10. Fewer visits to doctor after visit
  11. Anal sphincter action is well preserved
  12. Low risk of prolapse

  In case of preset parameter in most of machine, power delivered and energy is mostly set.

This works on formula

     P = E/T   

Power ( watt)

Energy ( joule )

Time  ( Sec)

 

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How LASER haemorrhoidoplasty has been done effectively?

(Case presentation on LASER haemorrhoidoplasty by Dr Sadiq Kazi)

Patient  aged 72 years male having bleeding per rectum since 5 years once or twice in a week…having prolapse since 2 years which he has to reduce manually…no other comorbid conditions….routine preoperative investigations are well and patient  was given fitness by physician…

Surgery was done under pudendal septa block with sedation..

First of all sigmoidoscopy done to confirm diagnosis and to rule out any other comorbid conditions

Supplying artery at apex of each pile mass identified and finger guided haemorrhoidal artery ligation FGHAL done with vicryl 2.0 figure of 8 stiches..

laser proctology-haemorrhoidoplasty

Done at 3,7,11 o’clock position..

Then conical laser fibre used… entered pile mass from mucocutenious junction..

Delivered energy at 8 Watts which is preset in IMDSL Laser machine…total 110 Jules of energy given to each pile mass…at 3 and 11 o’clock position at 7 o’clock only 1 degree hemorrhoid did not required it as ligation of supplying artery will be enough..

Ice pack was kept for 30 seconds after energy at each pile mass respectively..

Total operative time was 11 minutes…patient  was shifted in wheelchair…and started orally within one hour..

Post operative effect- laser

Patient was discharged after four hours of surgery…and has started his routine job from very next day as he owned a provision store…

Advice on discharge was given…to take care constipation vigorously with help of dietary modification and medication…may suffer bleeding per rectum occasionally and may also suffer mild prolapse for next 4 to 6 weeks…also explained about 10 to 12 percentage of recurrence..

 

Laser Hemorrhoidoplasty

Laser Hemorrhoidoplasty is a relatively new procedure for hemorrhoid treatment in which the haemorrhoidal blood flow is coagulated by the laser. Prior to procedure, patients need to be anesthetized by the anesthesiologist. Subsequently, the procedure will be conducted by the coloproctologist / colorectal surgeon; the laser probe will be inserted into the hemorrhoids. Due to an intense amount of heat, the laser beam cauterizes and seals off the blood vessels, therefore the hemorrhoid will simply shrink while reducing the risk of excessive bleeding during and after the procedure. Since laser Hemorrhoidoplasty is a precise procedure, it leaves no effect to the surrounding tissues as well as the anal sphincters. Benefits of using laser in this case

  1. Minimal anesthesia
  2. Same day discharge
  3. Faster recovery
  4. Instant shrinkage of pile mass
  5. Minimal or no Blood loss
  6. No cross infection

 

About Author

image of Dr.M.SADIQ KAZI

Dr.M.SADIQ KAZI is practising Laproscopic and Proctologist surgeon at his own hospital PESHANT HOUSE HOSPITAL paldi Ahmedabad.He has done his M.B.B.S and M.S from Government Medical College Surat. He has started his practice as general and Laproscopic surgeon in 2000.Gradually he developed his interest and practice in proctology field. He learnt his skills from stalwarts in this field like Dr.Pravin Kumar Gupta-Nagpur, Dr.Shanti Kumar Chivate -Thane,, Dr.Parvez Shaikh -Mumbai…

He is keen to practice in proctology by Minimal invasive way. So patient will have very smooth fast recovery and minimum morbidity.He was first in Gujarat to start Chivate surgery for rectal prolopse.
He was the first in Gujarat to start sphincterolysis in fissure in ano
He is one of the few started using LASER in Gujarat.
He has a wonderful track record in treating recurrent fistula in ano.
He has trained many doctors in proctology field.

 

 

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