Although they are not life-threatening, these conditions manifest themselves with quite unpleasant and painful symptoms for the sufferer.

“Until now, the treatment of these conditions involved classical surgery using a scalpel.

However, more modern, minimally invasive, alternatives for the surgical treatment of anal diseases have now emerged. The most widespread and effective method is the use of the laser, which offers significant advantages to patients both during the operation and at the post-operative level”, emphasizes Mr. Dimitrios Mousiolis General SurgeonDirector of the 1st Surgical Clinic for Minimally Invasive Endoscopic Rectal and Rectal Surgery Metropolitan General.

Laser operations of diseases of the anus for the treatment of hemorrhoids

Hemorrhoids are enlarged and swollen veins in or around the anus or lower part of the rectum. When the condition is advanced, surgical treatment is indicated. The most modern method is laser therapy. The procedure is minimally invasive and painless, as it is carried out using local anesthesia and the patient returns home the same day.

To perform the technique, a precision laser is used, and special tools are used so that the surgeon can perform the same procedure as the classic operation using a scalpel. By focusing a focused beam of light, the inflamed hemorrhoidal tissue is cut and removed without affecting the surrounding healthy tissue.

“In laser hemorrhoid surgery, postoperative complications are kept to a minimum. This is because no damage is caused to the healthy tissues around the inflamed area. At the same time, the risk of infection is significantly reduced, while the energy of the laser cauterizes and consequently seals the blood vessels at the same time, minimizing the risk of bleeding both during the procedure and after it ends,” he explains.

Coccyx cyst treatment with laser

The coccyx cyst manifests itself in the form of chronic inflammation in the region of the coccyx, that is, in the cleft between the buttocks. This condition is treated exclusively surgically, as there is no possibility that it will go away on its own. However, classical surgery is accompanied by a significant rate of post-operative pain and an increased possibility of future recurrence. A solution to these issues is offered by modern surgical treatment for the coccyx cyst using a laser.

The minimally invasive laser treatment offers a fast and highly effective treatment of the condition. This technique involves cleaning the infected area and removing the cyst to prevent the condition from recurring. A tiny flexible laser fiber is used to perform the operation under local anesthesia.

Thermal energy is then directed into the cyst area to remove the hairs that have penetrated under the skin causing the cyst cavity to shrink and close. After the operation, the patient is able to return home immediately, while the postoperative pain is easily manageable by taking simple analgesics.

Laser operations of diseases of the anus for the treatment of perineal fistula

A periosteal fistula is a pathological communication between the anal canal and the skin around the anus. For the definitive treatment of the condition, surgery is recommended, which until now was performed with the classic scalpel technique. However, with the emergence of new minimally invasive techniques, the effective and bloodless treatment of the condition using lasers has become widespread.

The application of the thermal energy emitted by the laser fiber causes destruction of the fistula epithelium and simultaneous elimination of the remaining fistula tract resulting in shrinkage and closure of its cavity. This technique offers an acceleration of healing time, while eliminating the risk of future recurrence. The patient returns home immediately, while the post-operative pain is easily treatable with simple analgesics.

In general, laser procedures for anal diseases offer many advantages, which make them a better choice compared to surgical removal. Being a procedure characterized by extreme precision, it does not affect the surrounding tissues or the anal sphincter, thus protecting the sufferer from faecal incontinence or sphincter narrowing after the operation. At the same time, the application of thermal energy reduces the risk of severe bleeding during and after the operation.

To carry out the procedure, local or spinal anesthesia is administered, which significantly facilitates the patient as the speed of recovery after the operation is accelerated. It involves no surgical incisions or stitches, so the patient can be discharged from the hospital within a few hours of the procedure and return to their daily routine after just 2-3 days.

“Pain after surgery is mild and can be relieved with simple painkillers for 1-3 days. In addition, laser operations for diseases of the anus are characterized by a high success rate and low recurrence rates compared to traditional surgery,” concludes Mr. Mousiolis.