Extensively prolapsed stage III and stage IV hemorrhoids should be removed surgically to obtain relief from hemorrhoid symptoms. Conventional surgery or stapled hemorrhoidectomy definitely offers relief from pain but they are associated with severe post operative complications. Very large hemorrhoids that are hard to excise using routine surgical procedures can be treated by laser treatment. Even, people with stage I or II hemorrhoids can also undergo this procedure for best results. Laser treatment for hemorrhoids involves use of laser rays to excise the hemorrhoids. It can be used either alone or along with other hemorrhoid treatment options for better results.
When is laser treatment used for hemorrhoids?
Before recommending laser treatment for hemorrhoids the physician will check the condition of the patient, size and damage done by the hemorrhoid tissue and for how long the patient has been suffering with hemorrhoids. Small sized hemorrhoids are treated initially with topical creams and by suggesting simple life style changes. Large hemorrhoids and those not responding to other hemorrhoid treatment options are treated using laser therapy. In few cases, laser treatment is used along with other treatment options for faster relief.
How is laser treatment for hemorrhoids done?
Laser treatment involves usage of two types of lasers, CO2 lasers and Nd:YAG lasers. Among these two types of lasers, Nd:YAG lasers are considered efficient as they penetrate deep in to the tissue and arrest the blood flow at a faster rate compared to CO2 lasers. Depending on size and condition of the hemorrhoid, duration and concentration of the laser beam is adjusted to either coagulate or vaporize the tissue.
Before starting the treatment procedure, physician will identify the root of the blood vessels responsible for hemorrhoids. Then a narrow laser beam is passed exactly to that point. Tissues and blood vessels of swollen tissue absorb these high energy rays. The absorbed energy gets converted in to heat energy, excises the tissue and seals the blood vessels. As a result, removal of the prolapsed tissue and sealing of the blood vessels to prevent bleeding are done in a single step eliminating the need for sutures. The entire procedure is performed by giving local anesthesia and does not require hospitalization.
Benefits of laser treatment for hemorrhoids
Though expensive, laser treatment for hemorrhoids is considered the best treatment for hemorrhoids. Advantages of this procedure include:
- Can resume to regular diet within a short time.
- There will be minimal discomfort after surgery.
- Post operative medications to be used will also be less.
- Gives successful results compared to other hemorrhoid treatments.
- Does not require hospital stay.
- Takes less time to perform. Entire procedure can be completed in just 20-40 minutes.
- Best procedure to treat very large sized hemorrhoids that are hard to treat with other procedures.
Limitations of laser treatment for hemorrhoids
Similar to other surgical procedures laser treatment for hemorrhoids is also associated with complications such as bleeding, damage to the surrounding tissue, infections at the site of surgery and side effects of anesthesia. However, the risk for these complications will be very less when the treatment is performed by an experienced physician. Another drawback of laser treatment for hemorrhoids is high cost. But, the cost of the therapy can be ignored when benefits of the procedure are considered.
laser treatment for hemorrhoids : Post surgery care
Even though the risk of complications is low patients should follow certain precautions for faster recovery.
- Taking fluid diet for 48 hours.
- Avoid lifting weights.
- Take healthy fiber diet.
After undergoing laser treatment for hemorrhoids, patients can prevent recurrence of hemorrhoids in future by taking fiber rich diet, increasing fluid intake and also by leading an active lifestyle.