Laser Hemorrhoidectomy with Fissurectomy Surgery by Expert General Surgeons
At Medicover Hospitals, our skilled general-surgeons, holding qualifications like MS, DNB, and FMAS, perform Laser Hemorrhoidectomy with Fissurectomy using advanced laser techniques. This minimally invasive approach results in smaller incisions and reduced blood loss, ensuring a quicker recovery for patients across India.
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What is Laser Hemorrhoidectomy With Fissurectomy?
Laser Hemorrhoidectomy with Fissurectomy is a surgical procedure involving the rectum and anus. It uses laser technology to remove hemorrhoids (swollen veins in the lower rectum or anus) and to treat anal fissures (small tears in the lining of the anus). The laser helps in precise removal with minimal bleeding and faster recovery.
This surgery is needed for severe hemorrhoids and chronic anal fissures that do not respond to other treatments. If left untreated, these conditions can cause pain, bleeding, and discomfort. Modern surgical approaches include laser techniques, which offer a less invasive option with reduced recovery time. These methods are preferred for their precision and effectiveness.

Laser Hemorrhoidectomy With Fissurectomy Doctors Near You
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Complete Guide To Laser Hemorrhoidectomy With Fissurectomy
Everything you need to know about the procedure, preparation, and recovery
Laser Hemorrhoidectomy with Fissurectomy Surgery Indications
Doctors recommend Laser Hemorrhoidectomy with Fissurectomy when conservative treatments fail to relieve symptoms. This procedure is often considered for patients experiencing severe discomfort or complications related to hemorrhoids and anal fissures.
Chronic Anal Fissures
Patients with chronic anal fissures often experience persistent pain during bowel movements. Examination may reveal a tear in the anal lining. When ointments and dietary changes do not heal the fissure, surgery may be necessary.
Severe Hemorrhoids
Individuals with severe hemorrhoids may suffer from significant bleeding and discomfort. Physical examination can show prolapsed or thrombosed hemorrhoids. If lifestyle changes and medications do not improve the condition, surgical intervention is advised.
Recurrent Hemorrhoids
Some patients experience frequent recurrence of hemorrhoids, leading to ongoing pain and bleeding. Doctors may find enlarged veins in the anal area upon examination. Surgery is considered when non-surgical treatments repeatedly fail.
Non-healing Anal Fissures
Non-healing fissures cause continuous pain and bleeding. Medical evaluation may show a persistent tear that does not respond to topical treatments. Surgery is recommended when healing is stalled.
Complicated Hemorrhoids
Complicated hemorrhoids may present with severe pain, infection, or strangulation. Examination can reveal inflamed and swollen veins. When these complications arise, surgery becomes necessary to prevent further issues.
How to Prepare for Laser Hemorrhoidectomy with Fissurectomy?
Proper preparation is crucial for a smooth Laser Hemorrhoidectomy with Fissurectomy. It helps reduce complications and aids in faster recovery.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least 7 days before surgery.
- Fasting: Begin fasting 8 hours before the procedure to prepare for anaesthesia.
- Bowel Preparation: Follow the doctor's instructions for bowel cleansing to ensure a clear surgical field.
- Clothing: Wear loose, comfortable clothing on the day of surgery for ease and comfort.
- Transport Arrangement: Arrange for someone to drive you home post-surgery due to anaesthesia effects.
- Medication List: Bring a list of current medications with dosages for the medical team to review.
- Hydration: Stay well-hydrated the day before surgery unless advised otherwise.
- Pelvic Floor Exercises: Practice as instructed to strengthen muscles and aid recovery.
Laser Hemorrhoidectomy with Fissurectomy Surgery (Step-by-Step)
Overview: This procedure is performed by general surgeons. It typically lasts 30 to 60 minutes. It is usually done under general or regional anaesthesia.
- Preparation: The patient is positioned comfortably. Anaesthesia is administered to ensure no pain during the procedure.
- Access: A small incision, about 1-2 cm, is made near the affected area to allow access to the hemorrhoids and fissures.
- Laser Application: A laser device is used to precisely target and remove the hemorrhoidal tissue. The laser helps in reducing bleeding and promotes faster healing.
- Fissurectomy: The surgeon uses a curette or harmonic scalpel to carefully excise the anal fissure. This step helps in relieving pain and discomfort.
- Hemostasis: Bipolar cautery may be used to control any bleeding and ensure the surgical site is clean.
- Closure: The incision is closed with sutures or left to heal naturally, depending on the surgeon's preference and the patient's condition.
- Recovery: The patient is moved to a recovery area. Monitoring continues until the effects of anaesthesia wear off.
Who Performs Laser Hemorrhoidectomy with Fissurectomy Surgery?
This surgery is performed by general surgeons who are trained in using laser technology for proctological procedures. They have expertise in managing conditions like hemorrhoids and anal fissures, ensuring effective treatment and recovery.
Recovery After Laser Hemorrhoidectomy with Fissurectomy Surgery
Recovery from Laser Hemorrhoidectomy with Fissurectomy is generally swift, but it requires careful attention to diet and activity. Patients can expect some discomfort, which gradually decreases over time.
Day 1-3:
- Rest is crucial. Avoid strenuous activities.
- Consume a soft diet. Include curd, dal-rice, and soups to ease digestion.
- Stay hydrated to aid healing.
Day 4-7:
- Gradually increase light activities like walking.
- Continue with a fibre-rich diet. Try khichdi and moong dal to prevent constipation.
- Monitor for any unusual pain or bleeding.
Day 8-14:
- Most patients can resume work or school, depending on comfort.
- Maintain a balanced diet with plenty of fruits and vegetables.
- Avoid heavy lifting and intense exercises.
Phase 3 (Week 3-4):
- Resume normal activities gradually. Listen to your body.
- Continue healthy eating habits to support recovery.
- Regular follow-ups with your doctor are essential.
When to Seek Urgent Help
- Severe pain that does not subside with medication.
- Excessive bleeding or discharge from the surgical site.
- High fever or signs of infection.
Benefits of Laser Hemorrhoidectomy with Fissurectomy Surgery
Laser Hemorrhoidectomy with Fissurectomy is a modern approach to treating hemorrhoids and anal fissures. It offers several advantages over traditional methods.
- Minimally Invasive: The procedure involves less tissue damage, promoting quicker recovery.
- Reduced Pain: Patients often experience less postoperative pain compared to conventional surgery.
- Lower Risk of Infection: The precision of laser technology minimizes the risk of infection.
- Shorter Hospital Stay: Many patients can return home the same day.
- Minimal Bleeding: The laser seals blood vessels, reducing bleeding during the procedure.
Risks and Complications of Laser Hemorrhoidectomy with Fissurectomy Surgery
While generally safe, laser hemorrhoidectomy with fissurectomy carries some risks, as with any surgical procedure.
- Common: Mild pain and discomfort in the treated area.
- Common: Temporary swelling or bruising around the surgical site.
- Rare: Infection, requiring additional treatment.
- Rare: Delayed healing, which may prolong recovery time.
- Rare: Recurrence of hemorrhoids or fissures, necessitating further intervention.
- Rare: Minor bleeding post-surgery, usually self-limiting.
- Rare: Urinary retention, which may require temporary catheterization.
Cost of Laser Hemorrhoidectomy with Fissurectomy Surgery
The cost of Laser Hemorrhoidectomy with Fissurectomy Surgery at Medicover Hospitals ranges from Rs. 60,000 to Rs. 1,55,000. The price varies depending on the ward category chosen, such as day care, general, or suite options. We offer transparent pricing to ensure clarity for our patients.
Insurance and TPA support is available, including CGHS, ESI, and major TPAs. A cashless facility is also offered for convenience. Please contact the hospital for the latest insurance panel details, as these may change periodically.
Frequently Asked Questions
1. How much does Laser Hemorrhoidectomy with Fissurectomy surgery cost at Medicover Hospitals?
The cost ranges from Rs. 60,000 to Rs. 155,000 at Medicover Hospitals, depending on the type of room and care required.
2. Is Laser Hemorrhoidectomy with Fissurectomy surgery covered under health insurance at Medicover?
Yes, it is often covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I experience bowel incontinence post-surgery?
Bowel incontinence is uncommon after this surgery. Consult your doctor if you experience any unusual symptoms.
4. How soon can I return to work after the surgery?
Most patients can return to work in 1-2 weeks. Follow your doctor's advice for a smooth recovery.
5. What foods should I eat after surgery?
Consume a high-fibre diet with foods like curd, dal-rice, and khichdi. This helps in smooth bowel movements and recovery.
6. Can hemorrhoids recur after the surgery?
Recurrence is possible but less likely with proper care. Maintain a healthy lifestyle to reduce the risk.
7. Will I need to avoid sitting for long periods?
Yes, avoid prolonged sitting for the first few weeks. Use a cushion and take regular breaks to aid recovery.
8. What is the recovery time for laser fissurectomy?
Recovery after laser fissurectomy is usually quick, with most patients improving within 1 to 2 weeks. Pain relief is often faster compared to conventional surgery, and normal activities can be resumed gradually.
9. What is the recovery time for a laser hemorrhoidectomy?
Laser hemorrhoidectomy typically has a recovery time of about 1 to 2 weeks, with minimal pain and faster healing. Many patients return to routine activities within a few days.
10. Which surgery is best for piles and fissures?
The best surgery depends on severity, but laser procedures and minimally invasive techniques are often preferred due to less pain, minimal bleeding, and quicker recovery. Traditional surgery may be recommended in advanced cases.
11. Is fissure laser surgery safe?
Yes, laser fissure surgery is considered safe and effective, with fewer complications, less pain, and faster healing compared to conventional methods when performed by experienced surgeons.