Diode laser technology has revolutionised the treatment of various conditions including piles (haemorrhoids), fissures, fistulas, and pilonidal sinuses. Here’s how diode lasers are used in each of these conditions:
Piles (Hemorrhoids)
Diode lasers are used in the treatment of haemorrhoids, which are swollen and inflamed veins in the rectum and anus. Laser Procedure for haemorrhoids involves using the diode laser to precisely target and shrink the swollen hemorrhoidal tissue. The laser energy seals off the blood vessels that supply the hemorrhoid, leading to its reduction in size and symptom relief. This procedure is minimally invasive, causes less pain, and requires shorter recovery times compared to traditional surgical techniques.
How Laser Work ?
Bare Fibre: A bare fibre is a flexible, thin fibre optic cable that delivers laser energy directly to the target tissue. In the treatment of haemorrhoids, the bare fibre is inserted into the anal canal to precisely deliver laser energy to the swollen hemorrhoidal tissue. The laser energy causes coagulation and shrinkage of the hemorrhoids, resulting in symptom relief and improved healing.
Radial Fibre: Radial fibres are designed with emitting surfaces along the sides of the fibre, allowing for 360-degree emission of laser energy. In hemorrhoid treatment, radial fibres can be beneficial for delivering energy evenly around the hemorrhoidal tissue, ensuring thorough treatment and optimal outcomes.
Laser Hemorrhoidoplasty procedure (III, IV Grade) consists of interstitial introduction of laser light with the wavelength of 1470 nm by means of optical fibre with the sharp end. The procedure is performed under local anaesthesia. It lasts for about 15 minutes. Normal daily activity is possible after the treatment. The risk of complications is negligible.
Surgical Protocol
- The laser fibre is placed in the centre of the hemorrhoidal tissue under direct vision.
- Each hemorrhoid is specifically shrunk from within with the laser fibre.
- The haemorrhoids shrink and slowly regress as a result of the treatment. Due to the targeted penetration of the laser, the enlarged haemorrhoids will also be cut off from their blood supply.
- This leads to a decrease in bleeding within a few days of the laser treatment
Advantages of the Procedure
- Owing to the homogenous radial emission of light with SWING 15, 1470 nm diode laser the following are obtained:
- The new minimally invasive procedure protects the sensitive anal skin (anoderm).
- The haemorrhoids are shrunk from the inside with a thin laser probe under appropriate anaesthesia, without injuring the anoderm.
- There will only be a very small wound.
- The Laser treatment is suitable for patients with 2nd to 4th grade haemorrhoids. – Compared with conventional surgical procedures, there are usually no cuts, and no tissue is removed.
- With laser radiation has the following advantages
- Target-specific tissue reduction in the hemorrhoidal nodes
- Maximum preservation of fine continence
- Best possible preservation of sphincter, anoderm, and mucous membranes – Quick return to everyday life activities
- Optional combinable with different methods of therapy
An anal fissure is a small tear in the lining of the anus, often causing pain and bleeding during bowel movements.
Diode Laser Procedure for anal fissures involves using the laser to precisely vaporize the affected tissue and promote healing. The laser energy also helps to improve blood circulation to the area, aiding in the healing process.
Laser Procedure for fissures is minimally invasive and can offer faster healing and symptom relief compared to traditional surgical approaches.
How Laser Work?
Bare Fibre: Similar to hemorrhoid treatment, a bare fibre is used to deliver laser energy directly to the affected tissue in anal fissure treatment. The precise application of laser energy helps to vaporise and promote healing of the fissure, reducing pain and discomfort.
Radial Fibre: Radial fibres may also be employed in fissure treatment to ensure uniform energy distribution and effective tissue ablation.
Advantages of Laser Treatment with Fissure
- The new minimally invasive procedure protects the sensitive anal skin (anoderm).
- The Fissure ith a thin laser probe under appropriate anaesthesia, without injuring the anoderm.
- There will only be a very small wound.
- Compared with conventional surgical procedures, there are usually no cuts, and no tissue is removed.
- With laser radiation has the following advantages
- Target-specific tissue reduction in the Maximum preservation of fine continence
- Best possible preservation of sphincter, anoderm, and mucous membranes. Quick return to everyday life activities.
An anal fistula is an abnormal tunnel-like tract that forms between the anal canal and the skin near the anus. Diode lasers are used in the treatment of anal fistulas to precisely target and seal off the fistula tract. The laser energy helps to destroy the unhealthy tissue lining the fistula tract and encourages the formation of healthy tissue, promoting closure of the fistula. Laser Procedure for fistulas is minimally invasive and can lead to faster healing and reduced risk of recurrence compared to conventional surgical techniques.
How Laser Fibre Work?
Bare Fibre: In the treatment of anal fistulas, a bare Fibre is utilised to deliver laser energy directly into the fistula tract. The focused energy helps to ablate and seal off the fistula, promoting closure and healing of the tract.
Radial Fibre: Radial Fibres can be advantageous in fistula treatment for their ability to emit laser energy in multiple directions, ensuring thorough treatment of complex fistula tracts and minimising the risk of recurrence.
Surgical Protocol
- For the most muscle-friendly therapy for anal fistula.
- During laser therapy, a defined energy is introduced into the fistula tract through an innovative laser probe.
- The fistula tissue is thus destroyed in the gentlest way and does not have to be tediously extracted by the surgeon during a complex surgery.
- The laser probe is slowly pulled back, and the fistula is being closed.
- The extremely flexible probe is suitable for the application even in wound tracts and is completely independent of the length of the fistula tract.
- The laser treatment takes only a few minutes and provides the possibility of completely sparing the enucleation of out healthy tissue.
How Does the Laser Treatment Proceed?
- After inserting the laser probe into the fistula tract, the laser destroys the fistula tissue and closes the tract.
- The treatment is nearly painless, and the period of recovery is noticeably shorter than with conventional surgical procedures.
Advantages
- Maximum protection of the sphincter and thus preservation of continence.
- No excision or cleavage of the fistula tract necessary.
- Faster wound healing and faster return to everyday life activities.
- Optional combinable with different methods of therapy. |
A pilonidal sinus is a small tunnel or cavity that forms in the skin near the tailbone (coccyx) and can become infected, causing pain and inflammation.
Diode lasers can be used in the treatment of pilonidal sinuses to precisely remove the infected tissue and promote healing. The laser energy helps to ablate the sinus cavity and destroy the hair follicles that can contribute to recurrence.
Laser Procedure for pilonidal sinuses is minimally invasive, causes less pain, and typically results in faster healing and reduced recurrence rates compared to traditional surgical methods.
Surgical Protocol
- Here, the coccyx fistula is irradiated with a minimally invasive laser.
- Minimally invasive means that only the smallest possible incision is necessary.
- The surgeries are usually performed under spinal anaesthesia.
- In the treatment, which in itself only takes a few minutes, a probe is inserted into the inflamed fistula tract.
- With the help of laser energy, the fistula tissue is precisely eroded, without the surrounding tissue being damaged or even having to be removed.
- Any cuts to relieve the abscess are significantly smaller. By retracting the probe, the fistula tissue is slowly and safely destroyed.
- The extremely flexible probe is well-suited for use in winding passageways and can be used regardless of the length of the fistula tract.
How Laser Work?
Bare Fibre:
When treating pilonidal sinuses, a bare Fibre is used to deliver laser energy directly to the infected tissue within the sinus cavity. The laser energy helps to debride and Ablate the sinus, promoting healing and reducing the risk of recurrence.
Radial Fibre:
Radial fibres may also be employed in pilonidal sinus treatment to ensure comprehensive coverage of the sinus cavity and effective tissue ablation.
The Minimally Invasive Laser Therapy Offers Patients and Surgeons Number of Benefits Compared to Conventional Surgery:
- – Closing of the pilonidal sinus tract by laser irradiation.
- – Very little pain.
- – Minimal wound surfaces.
- – Excellent healing results.
- – Removal of excess, inflamed tissue and residual hair.
- – Maximum patient comfort.
- – Outpatient procedure possible.
- – Short treatment duration.