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I Have Hemorrhois Gard 3 And A Chronic Anal Fissure
Posted on
Mon, 20 Jan 2020
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 20 Jan 2020
Answered on
Last reviewed on
Question : I have hemorrhois gard 3 and a chronic anal fissure.
A- which of the following procedure is the most safe and less pain is advisable:
1- %E2%80%9CTransanal hemorrhoidal dearterialization (THD)%E2%80%9C
2- %E2%80%9CDoppler-guided hemorrhoidal artery ligation and rectoanal repair (HAL-RAR) %E2%80%9C
3- Laser Hemorrhoidoplasty
And for the Chronic Anal Fissure:
Lateral internal sphincterotomy (LIS)
B- Would it be advicable to perform both procedure at the same setting?
A- which of the following procedure is the most safe and less pain is advisable:
1- %E2%80%9CTransanal hemorrhoidal dearterialization (THD)%E2%80%9C
2- %E2%80%9CDoppler-guided hemorrhoidal artery ligation and rectoanal repair (HAL-RAR) %E2%80%9C
3- Laser Hemorrhoidoplasty
And for the Chronic Anal Fissure:
Lateral internal sphincterotomy (LIS)
B- Would it be advicable to perform both procedure at the same setting?
Brief Answer:
The third option is the most safe and less painful advisable.
Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
I already reviewed the report.
I would suggest laser hemorrhoidoplasty and for the fissure later internal sphincterotomy.
Hemorrhoid laser procedure is a new procedure for treatment of hemorrhoids.
The hemorrhoidal arterial flow is stopped by laser coagulation.
The procedure is very safe and has a long term effect.
Lateral internal sphincterotomy is an operation performed on the internal anal sphincter muscle for the treatment of chronic anal fissure.
The procedures can be performed both in the same setting.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
The third option is the most safe and less painful advisable.
Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
I already reviewed the report.
I would suggest laser hemorrhoidoplasty and for the fissure later internal sphincterotomy.
Hemorrhoid laser procedure is a new procedure for treatment of hemorrhoids.
The hemorrhoidal arterial flow is stopped by laser coagulation.
The procedure is very safe and has a long term effect.
Lateral internal sphincterotomy is an operation performed on the internal anal sphincter muscle for the treatment of chronic anal fissure.
The procedures can be performed both in the same setting.
Hope I have answered your query. Let me know if I can assist you further.
Kind regards!
Dr.Dorina Gurabardhi
General &Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
How long does the recovery period last for each of the mentioned operations? Especially if two operations are performed at the same time
Brief Answer:
The recovery time may last 4 to 6 weeks if the procedures are done both
Detailed Answer:
Hi again dear,
The procedures have almost the same recovery time.
It may last from one to three weeks.
After this period you should be able to do normal activities.
If the two procedures are performed both the recovery time may be longer.
It may last from four to six weeks.
It is very important to avoid constipation during this period to shorten the recovery period.
Hope it helps.
Kind regards,
dr. Dorina Gurabardhi
The recovery time may last 4 to 6 weeks if the procedures are done both
Detailed Answer:
Hi again dear,
The procedures have almost the same recovery time.
It may last from one to three weeks.
After this period you should be able to do normal activities.
If the two procedures are performed both the recovery time may be longer.
It may last from four to six weeks.
It is very important to avoid constipation during this period to shorten the recovery period.
Hope it helps.
Kind regards,
dr. Dorina Gurabardhi
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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