Laser Coagulation Surgery or Laser Photocoagulation is the surgical procedure used to treat various eye diseases and has been used for decades now. During this procedure, the laser will cauterize blood vessels to help relieve the discomfort. Another use for this treatment is for Urological and Gastrointestinal procedures. In gastroenterology, it can be used for endoscopic methods also like in some cases like Mallory Weiss tear, it is essential. Mallory-Weiss Syndrome is the tearing of the mucosa of the stomach and esophagus brought by severe alcoholism, coughing and vomiting. In palliative treatment, it is used for ablating gastrointestinal neoplasms.
Anal fissure is basically a tear in the anal lining that can be treated with simple remedies or solutions like a non-constipating diet, proper personal hygiene, laxative usage, and a hot sitz bath. Hot sitz bath is a method wherein the patient sits on a shallow tub with warm or hot water on the buttocks part to help promote blood supply to the affected part. These simple adjustments can in reality relieve pressure and pain while defecating.
One of the major treatments is the internal sphincter medical manipulation of the anus. Anal fissure is classified as chronic or complicated when it does not respond to treatments, if there’s association with fibrous anal polyp at the level of dentate line, there are haemorrhoids, there’s the presence of external skin tag, there’s induration at the edges of the fissure, infection at the base of the fissure, if it’s a post fissure antibioma and granuloma, exposed fibers of the internal sphincter at the floor of the fissure and if it is post fistula. Research has concluded that chronic anal fissures would not respond to conservative treatments and thus would delay healing.
In recent studies, there have been results with the treatment of acute and chronic anal fissures with the accompanying method of Laser photocoagulation. The diseased or damaged tissues were evaporated and coagulated with the formation of a coagulation film on the surface of the wound. The histological findings of bioptic materials from the zones exposed to the laser photocoagulation have shown complete dissolution of the affected tissues.
The surgical operation is plain and economical in the treatment of anal tissues. This guarantees levels of improvement with immediate results, as well as a diminished frequency of a recurrence. This method of treatment can be introduced to outpatient surgical practice and will garner best results. In this procedure, anal dilatation is done with a two-valved anoscope with the help of a local anesthesia. Majority of the cases were proved to have a symptom-free result after a month of surgical experience while only a handful had a recurrence.
According to research, this procedure is free of discharges or defective continence such as transient or permanent. In other methods, a Park’s retractor or a recto sigmoid balloon is being used for sphincter dilatation. In this said method, more than 80% of the subjects were healed within 3 months of surgery. The said drawbacks of this procedure include the facts that limited information to this technique is available to the public and it will be inefficient for us to say that it is 100% reliable.
Please Share
