Minimally Invasive and Keyhole Procedures for Fissures, Hemorrhoids, and Fistula
Anal fissures, hemorrhoids (piles), and fistulas are common anorectal conditions that can cause pain, bleeding, and significant discomfort if left untreated. Unlike traditional open surgeries, these modern procedures involve smaller incisions, less pain, minimal bleeding, and faster recovery. Performed using specialized laser or video-assisted systems, they allow patients to resume normal life within days, while ensuring long-term comfort and reduced recurrence.
Detailed Treatment Plan
01
Diagnostic Evaluation
Each patient undergoes a detailed clinical and diagnostic assessment to identify the condition and its severity:
- Digital rectal examination and proctoscopy for direct visualization
- Ultrasound or MRI fistulogram, when needed, to detect internal tracts or abscesses
- Assessment of associated issues, such as constipation or infection
- Nutritional and psychological evaluation to prepare for long-term lifestyle adjustments
02
Treatment Options
The best minimally invasive or keyhole procedure is advised based on the diagnosis:
- For Anal Fissures Lateral Internal Sphincterotomy (LIS) – a precision cut in the sphincter muscle to reduce spasm and pain, promoting healing.
- For HemorrhoidsLaser Hemorrhoidoplasty (LHP) – uses laser energy to shrink hemorrhoidal tissue and seal blood vessels.
- For Fistula-in-Ano
Video-Assisted Anal Fistula Treatment (VAAFT) – uses an endoscopic camera to identify and close the fistula tract from within.
Laser Fistula Treatment (FiLaC) – employs laser energy to close fistula channels precisely, minimizing recurrence.
03
Surgical Procedure and Recovery
Every patient is carefully assessed to ascertain eligibility and to devise the best course of action:
- All procedures are performed using minimally invasive (keyhole) or laser techniques under local or spinal anesthesia.
- Patients can usually return home the same or next day.
- Pain and bleeding are significantly reduced compared to traditional surgery.
- Follow-up visits include wound care assessment, diet advice, and preventive guidance
04
Post-Operative Care
The recovery program is managed by a dedicated metabolic care team:
- Dietary advice: High-fiber diet, adequate hydration, and stool softeners to prevent recurrence.
- Hygiene care: Sitz baths and gentle cleaning to aid healing.
- Follow-up care: Regular monitoring to ensure complete recovery and early detection of recurrence.