Laser Surgery for Piles

laser surgery for piles

Overview

Laser surgery for piles, also known as Laser Hemorrhoidectomy or Laser Hemorrhoidoplasty, is a modern minimally invasive procedure that uses laser energy to shrink and treat hemorrhoids (piles) from the inside. Unlike traditional surgery that involves cutting tissue, laser treatment uses a precise laser beam to ablate (destroy) hemorrhoidal tissue without making incisions, resulting in significantly less pain and faster recovery.

What Are Piles (Hemorrhoids)?

Piles are swollen veins in the lower rectum and anus, similar to varicose veins. They can be:

  • Internal piles – inside the rectum (usually painless but may bleed)
  • External piles – under the skin around the anus (can be painful and thrombosed)
  • Grades 1–4 – ranging from mild swelling to complete prolapse requiring surgery

How Laser Piles Surgery Works

Laser treatment is especially effective for Grade 3 and Grade 4 hemorrhoids (severe cases with prolapse).

Procedure Steps

  1. Preparation: Patient positioned, local or spinal anesthesia administered
  2. Visualization: Anoscope inserted for clear view of hemorrhoids
  3. Mucopexy: Sutures placed 2cm and 1cm above the hemorrhoid apex to lift tissue
  4. Laser Ablation: 1470nm wavelength diode laser used with bare tip fiber at 12W power
  5. Tissue Sealing: Laser beam cuts and simultaneously seals blood vessels and tissues
  6. Shrinkage: 70–80% shrinkage of hemorrhoids visible on table
  7. Hemostasis: Bleeding stopped, ice pack applied
  8. Completion: Procedure typically takes 30 minutes depending on number and location of piles