External Piles surgery with laser external hemorrhoid surgery what are external piles how are they d
Channel: Dr. Jasmeet Singh Ahluwalia
Date: 2022-09-18

External Piles surgery with laser external hemorrhoid surgery what are external piles how are they different
People often confuse between external and internal hemorrhoids (piles). This video is just to clear these doubts.

LASER for Piles | Fissure | Fistula | Pilonidal Sinus | Varicose Veins

लेज़र ऑपरेशन  - पाइल्स | फिशर | फिस्टुला | पिलोनाइडल साइनस | वैरिकाज - वेंस

STAR Hospital - Region's First Internationally Certified Super-Specialist Centre for Bariatric Surgery | Weight Loss Surgery | Metabolic Surgery | Diabetes Surgery | Laparoscopic Surgery | LASER Surgery

Dr. Jasmeet Singh Ahluwalia
(MS, FNB-MAS, FBMS)
Super-Specialist Bariatric, Metabolic & Advanced Laparoscopic Surgeon

Star Hospital

265, Lajpat Nagar, Guru Nanak Mission Chowk, 
Jalandhar, Punjab, 144001

Helpline: +91-9888958889

Website: http://drjasmeetahluwalia.com 

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Google Map Link -  
Dr Jasmeet Singh : http://location.drjasmeetahluwalia.com
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Appointment: 0181-4674888

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Laser surgery is a type of surgery that uses special light beams instead of instruments for surgical procedures. LASER stands for “Light Amplification by the Stimulated Emission of Radiation.”

Laser Surgeries:-
Varicose veins Surgery
Fissure Surgery
Fistula surgery
Piles Surgery (Hemorrhoids)
Pilonidal Sinus

PILES:

Symptoms

External hemorrhoids

Bleeding – Fresh blood usually while or after passing stools. May be painful or painless
Swelling around anal area
Itching
Pain or discomfort
Internal hemorrhoids

Painless fresh bleeding while passing stools.
If they become very big, they may come out of anal opening.

Thrombosed hemorrhoids

This means blood clot has formed in external piles. It results in:

Severe painful swelling at rim of anus
Cause

Exact cause may not be apparent in every patient but some of the possible causes are:

Prolonged diarrhea or constipation
Straining while passing stools
Obesity
Pregnancy
Eating a low-fiber diet
Advanced age
Complications

Left untreated, piles can lead to:

Anaemia

Strangulated hemorrhoid.If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be “strangulated,” which can cause extreme pain

Blood clot – Thrombosed haemorrhoid as described above
 

Prevention

The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:

Pass stools as soon as you get an urge to do so – Do not wait
Eat high-fiber foods
Drink plenty of water
Exercise
Avoid prolonged sitting
 

Diagnosis

External hemorrhoids may be visible just by looking but for internal – doctor needs to see inside:

Digital examination.But inserting finger inside.
Proctoscopy-Because internal hemorrhoids are often too soft to feel a small instrumented is inserted to see them.
Sigmoidoscopy or Colonoscopy – In some cases if there is a doubt of another disease being present as well.

FISSURE - IN - ANO

Anal fissure is a small tear in the superficial part of anal canal and cause pain and bleeding with bowel movements.

Most anal fissures respond to simple treatments but some will require surgery.

Symptoms
Signs and symptoms of an anal fissure include:

Pain, mild to severe after passage of stools and may last for hours after that
Bright red blood on the stool or toilet paper
Skin tag on anal verge
 
Causes
Common causes of anal fissure include:

Hard stools
Constipation and straining during bowel movements
Chronic diarrhea
Pregnancy
Childbirth
 
Complications
Complications of anal fissure can include:

Failure to heal.An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment.
Once you’ve experienced an anal fissure, you are prone to having another one.
A tear that extends to surrounding muscles.

Diagnosis

Usually simple examination by doctor will be enough to diagnose fissure.

Treatment

Anal fissures often heal within a few weeks if you take steps to keep your stool soft, such as increasing your intake of fiber and fluids. Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.

If your symptoms persist, you’ll likely need further treatment.

Nonsurgical treatments
Doctor will usually try medicines and life style modifications to relieve symptoms but if they do not work, surgery may be needed.

Surgery
Lateral Internal Sphincterotomy- (LIS) involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing.
For chronic fissure, surgery is much more effective

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