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Surgery

### When to Opt for Surgery for Fissure, Fistula, Piles, and Pilonidal Conditions: The Expertise of Dr. Karan R. Rawat

Dealing with proctological issues like fissures, fistulas, piles (hemorrhoids), and pilonidal cysts can be not only uncomfortable but also severely disruptive to everyday life. While many of these conditions can be managed with conservative treatments such as medications and lifestyle changes, surgery might be necessary when these measures fail to provide relief or when the conditions worsen. Dr. Karan R. Rawat, a distinguished specialist in colorectal surgery, stands out as a leading expert in managing these ailments, especially through advanced surgical techniques like Minimally Invasive Procedure for Hemorrhoids (MIPH) and laser surgery.

### Understanding the Conditions and When Surgery Is Required

**Fissures** are small tears in the anal lining, causing severe pain and bleeding during bowel movements. Conservative treatments include high-fiber diets, sitz baths, and topical medications. Surgery, specifically lateral internal sphincterotomy, is recommended when fissures fail to heal or recur frequently, causing chronic pain and discomfort.

**Fistulas** are abnormal connections that form between the end of the bowel and the skin near the anus. They are often associated with pain, infection, and discharge. Surgery is typically necessary to correct a fistula as it rarely heals by itself, with options including fistulotomy or seton techniques.

**Piles** or hemorrhoids are swollen veins in the rectum and anus that can cause discomfort, itching, swelling, and bleeding. While mild cases can be treated with over-the-counter creams and changes in diet, advanced piles often require surgical intervention. Procedures like hemorrhoidectomy or MIPH are used to remove or reduce hemorrhoids.

**Pilonidal cysts** are chronic skin infections near the tailbone that often contain hair and debris. These are typically excruciating and prone to infection. Surgery to remove the cyst is necessary when it repeatedly becomes infected or causes severe symptoms.

### Why Dr. Karan R. Rawat Is a Preferred Specialist

Dr. Karan R. Rawat's expertise in proctology is particularly distinguished by his proficiency in performing advanced surgical procedures such as MIPH and laser surgeries, which are cutting-edge treatments for piles and fistulas. His approach combines innovative techniques with traditional care principles, providing patients with minimally invasive options that offer quicker recovery times, reduced pain, and lower risk of complications.

**MIPH** is a technique that serves as a less invasive alternative to traditional hemorrhoidectomy, offering reduced pain and quicker return to normal activities. Dr. Rawat's expertise in MIPH ensures that patients receive the most modern care possible, with outcomes that often exceed those of conventional surgery.

**Laser surgery**, another area of Dr. Rawat's specialization, uses precise laser beams to remove or reduce hemorrhoids, fistulas, and pilonidal cysts without the need for extensive cuts or wounds. This method results in less bleeding, shorter hospital stays, and faster healing times, making it an attractive option for patients seeking less disruptive treatments.

### Concluding Thoughts

Choosing the right moment to opt for surgery when dealing with painful and often debilitating conditions like fissures, fistulas, piles, and pilonidal cysts is crucial. Dr. Karan R. Rawat is not only well-versed in traditional surgical methods but also a pioneer in applying minimally invasive techniques that prioritize patient comfort and swift recovery. His commitment to adopting the latest advancements in medical technology, along with a patient-centered approach, makes him a leading choice for individuals requiring specialized proctological care. Whether through MIPH or laser treatments, Dr. Rawat’s patients can expect top-notch, compassionate, and effective medical care tailored to their specific needs.

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