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Proctology
Laser ablation of Piles
What are piles/hemorrhoids?
Piles are collections of tissue and veins inside (internal) and outside ( external) of anus that become inflamed and swollen.
What causes formation of piles?
The causes are:
Chronic constipation
Chronic diarrhea
Lifting heavy weight
Pregnancy
Straining while passing stool
How do you know if you have piles?
The common symptoms are:
bleeding from anus during passing stools
A lump in or around your anus
Discomfort/ pain/ itching when passing stool or when sitting
Feeling of incomplete evacuation after passing stool
What should I do if I have the above symptoms?
You should visit a surgeon for a thorough clinical evaluation.
What are the treatment options for piles?
There are two types of treatment medical and surgical. In medical treatment stool softeners(laxatives) and ointment is used. However here the relief is only temporary and the symptoms return after sometime.
What are the surgical procedures?
Open surgery (hemorrhoidectomy)
laser surgery
What is laser surgery for piles?
It is the most advanced treatment option for piles at present. Using laser energy source the piles tissue is ablated.
How long does the procedure take?
Laser ablation of piles takes only about 30 mins.
Is there any after effect of laser surgery?
There no after effect. The patient is discharged within 12-24 hours after surgery and can return to normal work within 48 hours.
What are the advantages of laser surgery over open surgery?
No cuts/ wound
Painless/ blood less
Minimum chances of recurrence
Minimally invasive procedure
No dressing required
Early return to normal life( within 48 hours)
Does Insurance cover laser surgery for piles?
Yes all insurance and Mediclaim is covered by us.
Fissure
What is anal fissure?
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements.
What is the cause of anal fissure?
The causes are:
An anal fissure most often occurs when passing large or hard stools
Chronic constipation or frequent diarrhea can also tear the skin around your anus
Straining during childbirth or bowel movements
Overly tight or spastic anal sphincter muscles
Inflammatory bowel disease, anal cancer, HIV, TB etc
What are the symptoms of an anal fissure?
An anal fissure may cause one or more of the following symptoms:
A visible tear in the skin around your anus
Sharp pain in the anal area while passing stool
Burning or itching in the anal area
Streaks of blood while passing stool
A skin tag, or small lump of skin, next to the tear
What is the treatment for anal fissure?
The treatment options for anal fissure is medical and surgical. In medical treatment laxatives, ointments and sitz bath is given however the relief obtained is only temporary and pain and bleeding returns again after a while.
What are the surgical options for anal fissure?
The surgical options are
Open fissure surgery(sphincterotomy)
laser sphincterolysis
What is laser surgery for anal fissure?
In laser sphincterolysis the tight anal sphincter muscle is released with a laser energy source and provides immediate relief of symptoms. It is the most latest and advanced method of trearting anal fissure.
How long does the procedure take?
Laser sphinterolysis takes only 10-15 mins
what are the benefits of laser over open surgery in fissure?
No cut, stitches or big wound
Painless, bloodless procedure
Less than 24 hours of hospital stay
No complication such as incontinence
Quick recovery and return to normal life (within 24 hours)
No dressing required
Laser Fistula (Filac)
What is anal fistula\fistula in ano?
An anal fistula is an abnormal connection (infected tunnel) between the lining on the inside of your anal canal (back passage) and the skin near your anus.
What causes anal fistula?
An anal fistula (also commonly called fistula-in-ano) is frequently the result of a previous or current anal abscess. This occurs in up to 50% of patients with abscesses. Other causes are TB, inflammatory bowel disease, anorectal cancer etc.
What is an anal abscess?
An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus.
How do you know if you have anal fistula?
Anal fistulae can present with the following symptoms:
Pus or fluid discharge from skin near anus
Itching
Pain, may be severe
Unpleasant smell
Fever
Is there any option to treat anal fistula without surgery?
No there is no permanent cure of fistula without surgery.
What are the surgical treatments for anal fistula?
The surgical options are
Open fistula surgery where the entire fistula tract has to be excised and the wound kept open
Fistula tract Laser Closure (FiLaC) which is the latest and most advanced method of treatment
How is the laser procedure done?
The fistula tract is closed by a probe emitting laser energy without any cut.
How long does the procedure take?
It takes only 25-30 mins for the procedure.
What are the benefits of laser procedure?
There are numerous benefits of laser over open surgery
There is no cut, no open wound
Bloodless procedure
Minimal pain
No post operative complication such as faecal incontinence
No injury/damage to surrounding muscles
Discharge from hospital within 24 hours
Quick recovery and return to normal work within 48 hours
No dressing required
Excellent outcome in treatment of complex anal fistula
Will my insurance cover this procedure?
Yes, we cover all insurances.
Laser ablation of Pilonidal Sinus
What is pilonidal sinus?
A pilonidal sinus is a small hole or tunnel in the skin. It may fill with fluid or pus, causing the formation of a cyst or abscess. It occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris.
What is the cause of pilonidal sinus?
Its cause is believed to be a combination of changing hormones, hair growth, and friction from clothes or from spending a long time sitting.
It most commonly affects males aged 16-30 years.
It is associated with those who sit for prolonged periods, such as drivers or office workers.
Other associated factors are increased sweating, buttock friction, obesity, poor hygiene, or local trauma.
What are the symptoms of pilonidal sinus?
The common symptoms are:
Pain when sitting or standing
Reddened, sore skin around the area
Pus or blood draining from the abscess, causing a foul smell
Hair protruding from the lesion
Formation of more than one sinus tract, or holes in the skin
Can pilonidal sinus be cured without surgery?
There is no permanent solution of pilonidal sinus by medical treatment. The recurrence rates are extremely high.
What are the surgical options for pilonidal sinus?
Open pilonidal surgery which involves excising the tract and laying the wound open. This takes long time to heal and there is increased chance of infection
Laser ablation of pilonidal sinus
What is laser ablation of pilonidal sinus?
In this procedure the sinus tract is closed using a diode laser probe thus resulting in permanent solution.
How long does the procedure take?
The entire procedure takes only about 25-30 mins.
What are the benefits of laser ablation over open surgery?
There is no cut/wound
No bleeding, painless
No postoperative complication
No wound infection
Early release from the hospital within 24 hours
Quick recovery and return to work within 2 days
No dressing required
Is this procedure covered by insurance?
Yes we cover all insurances.
How to prevent this condition from happening again?
Permanent removal of hair of back by laser prevents any chance of recurrence.
Our Testimonials
My mother was suffering from severe hemorrhoids for a long time. Her condition got quite critical. She was bleeding a lot. She got operated by Dr.Somak Ghosh on 24th July and despite her critical surgery, she healed totally within a month. Thankful to Dr Somak and the entire team for a smooth hassle free surgery and post operative assistance. He took care of all the problems very well. The Hospital was out is also very good, clean and staffs are also very helpful and prompt in their duty. Thank you everyone.
The surgery itself was a success, and I was back on my feet in no time. Dr. Ghosh's post-operative care was equally impressive, and he made sure that I had all the necessary medications and follow-up appointments to ensure a full recovery. Today, I am completely free from piles and feel like a new person. I am extremely grateful to Dr. Somak Ghosh for his skillful treatment, his compassion, and his excellent patient care. I highly recommend Dr. Ghosh to anyone who is looking for the best piles surgeon in Kolkata.
We had an amazing experience meeting Dr Somak Ghosh for treatment of my sister.The faculty Healing hands in superb and the staff and all team members are very kind ,polite and professional. The treatment was suggested to us in a very efficient way. Done laser treatment for piles by dr Somak last month and now she is doing good. Thanks to the team for their kind gesture to us.
I was looking for a Good Doctor in Kolkata as my uncle requested me from Bangladesh for his Piles problem. He was misguided many times in Chattogram while he was searching for a better cure. And finally he decided to come to Kolkata for his treatment. I managed everything for him here in India. And I found Dr Somak Ghosh as a Sr Proctologist. Thanks Almighty that you introduce me with such a great Doctor. And my uncle is very happy now.
I'm very pleased to share my good experience with Dr Somak Ghosh. My general physician refered me to him for my Piles problem. He clinically examined me and suggested Laser procedure. He explained me in details about the treatment process, diet, Cost of Laser and there was no ambiguity at all. He is a very skilled surgeon and reputed Doctor. I did my Piles surgery last week in Techno Dama hospital. And his team, specially Anupam guided and helped me a lot. Thank you Doctor for curing my pain.
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