It's no secret that when itching, painful sensations in the anorectal area and bleeding from it, directly indicative of hemorrhoids, few people hurry to visit a specialist and begin treatment. All the fault of the fear is that a painful operation with a long and difficult rehabilitation period will be required to remove the nodes. Yes, before it was, but nowadays medicine has stepped far ahead, and in order to remove pathological inflammatory cones, simple, minimally invasive techniques are used that do not bring unpleasant sensations to the patient. One of the most modern techniques is laser vaporization. It consists in the fact that the hemorrhoidal node is thermally affected by a laser, which calls for its heating and destruction. The advantages of this treatment are as follows:
- The removal procedure is short-lived;
- Complete absence of blood, since cuts are not applied;
- Local anesthesia;
- Recovery within 1-2 days.
After removal of the hemorrhoids by the laser, the patient returns home in 6-8 hours, and every day starts to lead a habitual way of life. The advantage of this method of treatment is that it guarantees complete disposal of the problem and the absence of relapses that are possible with the use of other therapies.
Indications for laser vaporization of hemorrhoidal nodes
The main indication for this method of treatment are various complications of pathology, significantly worsening the patient's quality of life. Thus, laser removal of hemorrhoids is necessarily performed with bleeding, since such a state poses a particular danger to human health. An important indication for this operation is a sharp progression of pathology or frequent loss of inflamed cones after the act of defecation. In addition, the removal of constantly inflamed and dropping cones in this way is required in the following cases:
- Pins;
- Thrombosis;
- Frequent inflammation of the veins.
How is laser surgery to remove hemorrhoids?
Before the appointment of the procedure there is a short preparatory period, which consists in conducting a number of simple examinations. Usually, before this minimally invasive intervention it is necessary to undergo an electrocardiogram, as well as to pass laboratory tests of urine and blood. In each specific situation, a specialist can prescribe additional clinical studies before laser vaporization of hemorrhoids individually. On the eve of this treatment, the patient must adhere to a strict diet. All foods that can lead to bloating or constipation are completely excluded from the diet. Use is recommended only for light vegetable food. Before the surgery to remove hemorrhoids by a laser, the patient is treated with a cleansing enema. All the preparations for this end.
The technique of performing an operation to remove inflamed nodes in this way differs from other minimally invasive procedures, doping, cryotherapy and others. The main difference is that laser vaporization of hemorrhoidal nodes can be carried out in the presence of fistulas and cracks in the anal canal, since these negative phenomena will not be aggravated by the procedure. In order to remove inflamed and significantly impaired quality of life inflamed cones, no need to stay in the hospital. All operating procedures are performed in outpatient settings:
- An anoscope with backlight is inserted into the patient's anal opening, due to which it is possible to easily detect and treat the hemorrhoidal node;
- The laser coagulator is fed through an anoscope to it, and the tip is pressed for a few seconds to the foot, and, if necessary, to the entire surface;
- Removal is by thermal radiation. In a finely focused infrared ray, the internal inflamed cones are completely burned out, and the outer ones are cut off at the base. In their place, a new connective tissue appears.
After the procedure for removing hemorrhoids with a laser, no traces, scars or scars remain on the surface of the anus, and dressings are also not required. It is practiced to conduct several types of such intervention, in which a high-frequency laser apparatus is used:
- Transmucous removal of internal hemorrhoids. For this type of treatment a high-intensity infrared ray is used. This procedure begins with a laser beam point impact on the top of the inflamed pathogenic cone, each time retreating a distance of 2 mm. On the treated area, a dying center is formed, and the leg stops feeding on blood. In this procedure, an anatomical lesion of healthy tissues does not occur, and the hemorrhoidal lump considerably diminishes in size;
- Subdermal-submucosal excision. In this type of intervention, the inflamed cones are destroyed and the pathogenic vessel is cauterized inside it due to its puncture through the anoscope.
In the 3rd and 4th stages of the disease, experts recommend combining laser treatment with hemorrhoidopexy. Innovative technology consists in the fact that the infrared ray acts on the cavernous caverns of inflamed cones, resulting in spasm and then coagulation( coagulation) of the cavernous formations. After these modern operations, during which the laser removes hemorrhoids, the patient does not need a rehabilitation period. Also there are no restrictions in the management of everyday life except that it is not recommended to lift weights. A person can safely move around and do household chores, and go to work in a day.
Pros and cons of treating hemorrhoids with laser
This operation, carried out on a minimally invasive technology, has a large number of positive sides:
Treatment of hemorrhoids with a laser is completely painless. The biggest thing that a patient can feel during the removal of inflamed cones, is a slight warmth. In the case when the patient has a low threshold of pain sensitivity, all manipulations are performed under local anesthesia;
- Basically, the cauterization procedure takes place in outpatient settings, since the duration does not exceed 15 minutes;
- During this mini-operation, blood loss does not occur, since the laser beam cauterizes all bleeding vessels immediately;
- The inflammatory processes in the anorectal region, fistulas and cracks are not a contraindication for this method of removing hemorrhoids; on the contrary, they are eliminated during manipulation.
But along with the merits of this method of treatment, it has some minor drawbacks. First, with large cone sizes, they can not be removed completely, so there may be a relapse of the disease in the next 5 years, and secondly, this procedure is very expensive.
Often, patients are interested in where it is possible to remove hemorrhoids with a laser. This minimally invasive operation is performed in specialized proctologic clinics. The direction to such a minimally invasive intervention can be obtained from your doctor, he is also after the diagnosis and confirmation of the stage of the disease and tells you where you can do this operation.