Laser treatment of hemorrhoids (vaporization and ablation)

Laser treatment of hemorrhoids is a modern minimally traumatic method that allows hemorrhoidal nodes to be removed without large incisions. During the procedure, the laser precisely affects the tissues of the node, promoting the gradual reduction of the node. At the same time, it coagulates small vessels, which reduces the risk of bleeding.

One of the advantages of laser techniques is a shorter recovery period compared to classical operations. After the procedure, pain, swelling and discomfort are usually less pronounced, and the return to everyday activity often occurs faster. At the same time, the effectiveness of treatment depends on the stage of hemorrhoids and the correctly chosen tactics.

At the Oxford Medical clinic, proctologists with many years of experience work, who follow modern clinical recommendations. For each patient, the treatment tactics are determined individually — taking into account the type of hemorrhoids, the stage of the disease and the existing symptoms. If hemorrhoids bother you, do not postpone a visit to the doctor — schedule a consultation at a time convenient for you.

Laser techniques in proctology are used to reduce hemorrhoidal nodes or for their surgical removal. The option of intervention is selected depending on the stage of hemorrhoids, the size of the nodes and the severity of symptoms.

Laser techniques can reduce postoperative pain, bleeding and the duration of recovery compared to classical operations, but they are not a universal solution for all patients. The treatment method is determined after diagnostics.

For minimally invasive treatment, LHP techniques may be used, in particular laser vaporization of hemorrhoids. For large nodes or a pronounced external component, laser hemorrhoidectomy may be recommended.

Before the procedure, a consultation with a proctologist is mandatory, during which the doctor evaluates the stage of hemorrhoids, the condition of the nodes and the presence of concomitant proctological diseases. If the patient is bothered by bleeding, pain, prolapse of nodes or anal itching, it is not worth postponing a visit to the doctor.

Laser ablation of hemorrhoidal nodes and excision of hemorrhoidal nodes with a laser have fewer limitations compared to classical operations, but they are not suitable for all patients. Before the procedure, the doctor necessarily evaluates the stage of hemorrhoids, the presence of concomitant diseases, the risk of complications and the general state of health.

The main contraindications are:

• acute thrombosis of hemorrhoidal nodes;

• pronounced inflammation or a purulent process in the area of the rectum;

• paraproctitis;

• severe blood clotting disorders;

• decompensated cardiovascular diseases;

• acute infectious diseases;

• malignant neoplasms of the rectum;

• pregnancy — in some cases, the procedure is recommended to be postponed.

Some contraindications may be temporary. For example, in acute inflammation or thrombosis, medication treatment is first carried out, and the issue of laser correction of hemorrhoids is considered after stabilization of the condition.

Before planning surgical treatment of hemorrhoids with a laser, the patient is recommended to undergo a proctological examination and tests as indicated. This allows the stage of hemorrhoids, the condition of hemorrhoidal nodes to be assessed and the optimal treatment method to be determined.

Preparation for the procedure usually includes:

• anoscopy;

• general blood and urine tests;

• a coagulogram;

• ECG and additional examinations as indicated;

• bowel cleansing before the procedure.

Doctors of “Oxford Medical” note: 1–2 days before the intervention, it is usually recommended to limit legumes, cabbage, fresh baked goods, carbonated drinks, alcohol and other products that can cause bloating or bowel movement disorders. On the eve of the procedure, cleansing of the lower parts of the bowel is performed — most often with the help of microenemas or special preparations prescribed by the doctor.

Also before the procedure, it is important to inform the proctologist about the constant intake of medications, especially anticoagulants or medicines that affect blood clotting. In some cases, their intake regimen may be temporarily adjusted before the intervention.

If laser vaporization of hemorrhoidal nodes or laser hemorrhoidoplasty is planned, hospitalization is usually not required. Most patients can return home on the same day after the procedure.

The course of the procedure depends on the selected method. For internal hemorrhoids of stage II–III, minimally invasive laser methods are more often used, and for large external or combined nodes, laser hemorrhoidectomy may be performed.

Laser hemorrhoid treatment in the clinic includes the following stages:

1. Patient preparation. The patient is placed in a comfortable position, and the surgical area is treated with an antiseptic.

2. Pain relief. Local anesthesia is usually sufficient. If necessary, sedation (medicated sleep) may also be performed.

3. Laser destruction of hemorrhoidal nodes. During the minimally invasive procedure, the laser fiber is inserted into the hemorrhoidal node. Laser energy affects the vascular structures of the node, as a result of which it gradually decreases.

4. Laser hemorrhoidectomy — if necessary. For large external or combined nodes, excision of hemorrhoidal tissues using a laser may be performed.

5. Bleeding control. After laser exposure, the doctor checks the surgical area and, if necessary, additionally coagulates the vessels.

After the procedure is completed, the patient can usually leave the clinic shortly afterward.

Laser methods are considered less traumatic compared to classic operations; however, like any surgical intervention, they have a risk of complications. The likelihood of their development depends on the stage of hemorrhoids, the scope of the operation, concomitant diseases, and compliance with recommendations during the recovery period.

Possible complications are:

• pain or discomfort in the area of intervention;

• minor bleeding after the procedure;

• tissue swelling;

• inflammation of the postoperative area;

• thrombosis of external hemorrhoidal nodes;

• temporary bowel movement disorders;

• recurrence of hemorrhoids in the future.

The doctors of «Oxford Medical» warn: if severe pain, heavy bleeding, an increase in temperature, or a pronounced worsening of well-being appears after the intervention, it is necessary to contact a proctologist as soon as possible.

The duration of recovery depends on the method of intervention. After minimally invasive laser procedures, rehabilitation usually proceeds faster than after classic hemorrhoidectomy. After excision of large nodes, discomfort may persist longer, especially in the first days after the operation.

During the recovery period, moderate pain, minor bloody discharge, sensitivity, or discomfort during defecation are possible. Usually these symptoms gradually decrease as the tissues heal.

After the procedure, it is usually recommended to:

• drink a sufficient amount of water;

• follow a diet with a sufficient amount of fiber;

• avoid strong straining;

• temporarily limit heavy physical exertion;

• follow hygiene recommendations;

• take the medications prescribed by the doctor.

After minimally invasive treatment, most patients can return to everyday activity within a few days. If laser hemorrhoidectomy was performed, the recovery period is usually longer and depends on the scope of the operation and the individual features of tissue healing.

For laser hemorrhoid removal, prices depend on the stage of the disease, the number and size of hemorrhoidal nodes, as well as the method of performing the procedure. You can preliminarily familiarize yourself with the prices for medical services here.

The doctor will orient you in more detail regarding the treatment method and cost during the consultation. You can make an appointment at a convenient time for you by phone or through the online appointment form on the clinic's website.

The information is for informational purposes and does not replace a doctor's consultation.

Sources:

• American Society of Colon and Rectal Surgeons

• National Institute of Diabetes and Digestive and Kidney Diseases

• US National Library of Medicine