Advanced Surgical Treatments for Piles, Fissure, Fistula, and Pilonidal Sinus – By Dr. Karan R. Rawat

Introduction

Anorectal conditions like piles (hemorrhoids), fissures, fistulas, and pilonidal sinus can cause severe pain, discomfort, and embarrassment. Many patients suffer in silence due to fear of surgery, but modern minimally invasive and laser treatments have revolutionized their management.

As a leading proctologist and laparoscopic surgeon, I, Dr. Karan R. Rawat, specialize in painless and advanced surgical treatments for these conditions. In this blog, I will discuss the causes, symptoms, and the latest surgical options available.

1. Piles (Hemorrhoids) – Causes & Advanced Treatment

What Are Piles?

Piles are swollen veins in the anal canal that can cause bleeding, itching, and pain. They can be internal or external and are graded from Grade I (mild) to Grade IV (severe).

Symptoms:

• Bleeding during bowel movements

• Pain & swelling near the anus

• Prolapse (protrusion of hemorrhoids)

Advanced Treatments:

• Laser Hemorrhoidoplasty (LHP): A minimally invasive laser procedure that shrinks hemorrhoids without cuts.

• Stapler Hemorrhoidopexy (PPH): Removes excess tissue and restores normal anatomy with minimal pain.

• THD (Transanal Hemorrhoidal Dearterialization): A suture-based, bloodless procedure for prolapsed piles.

Benefits:
✅ No cuts, minimal pain
✅ Faster recovery (return to work in 2-3 days)
✅ No stitches or major wounds

2. Anal Fissure – Causes & Permanent Cure

What Is an Anal Fissure?

A small tear in the anal lining causes sharp pain during bowel movements and bleeding. Chronic fissures may require surgery.

Symptoms:

• Severe pain during & after passing stool

• Bright red bleeding

• Muscle spasm (leading to delayed healing)

Advanced Treatments:

• Lateral Sphincterotomy: A minor procedure to relax the anal muscle, allowing healing.

• Fissurectomy with Botox: Removes scar tissue & injects Botox to relax spasms.

• Laser Fissure Treatment: Promotes faster healing with minimal discomfort.

Benefits:
✅ Permanent relief from pain
✅ No prolonged wound care
✅ Quick recovery

3. Fistula-in-Ano – Modern Laser & FIAC Treatment

What Is an Anal Fistula?

An abnormal tunnel between the anus and skin, often due to an untreated abscess. It causes persistent discharge, pain, and recurrent infections.

Symptoms:

• Pus or blood discharge near the anus

• Swelling & pain

• Recurrent abscess formation

Advanced Treatments:

• FIAC (Fistula Laser Closure): A laser-based treatment that seals the fistula tract without cutting muscles.

• VAAFT (Video-Assisted Anal Fistula Treatment): Minimally invasive endoscopic treatment.

• LIFT (Ligation of Intersphincteric Fistula Tract): A sphincter-saving procedure.

Benefits:
✅ No cutting of anal muscles (prevents incontinence risk)
✅ Faster healing
✅ Minimal recurrence

4. Pilonidal Sinus – Laser & Minimal Access Surgery

What Is a Pilonidal Sinus?

A small cyst or tunnel near the tailbone that gets infected, causing pain, swelling, and pus discharge.

Symptoms:

• Painful swelling near the buttock cleft

• Pus or blood discharge

• Recurrent infections

Advanced Treatments:

• Minimal Invasive Sinus Excision: Removes the sinus tract with a tiny incision.

• Laser Pilonidal Sinus Treatment: Seals the tract with laser energy.

• EPSiT (Endoscopic Pilonidal Sinus Treatment): Treats sinus with a scope, ensuring minimal scarring.

Benefits:
✅ No large wounds or stitches
✅ Faster recovery
✅ Low recurrence rate

Why Choose Dr. Karan R. Rawat for Your Treatment?

• Expertise in Minimally Invasive & Laser Surgeries

• Painless & Bloodless Procedures

• Fast Recovery & Minimal Hospital Stay

• High Success Rates with Low Recurrence

If you are suffering from piles, fissures, fistula, or pilonidal sinus, consult today for the most advanced and pain-free treatments.

📞 Call Now: 7398888889

Don’t let pain and embarrassment stop you from living a healthy life. Get treated by a specialist today!

Dr. Karan R. Rawat
MS, FMAS, FIAGES
Laparoscopic & Laser Proctology Surgeon

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