Laser ablation of haemorrhoids: A minimally invasive solution

Written in association with: Mr Nikhil Pawa
Published: | Updated: 20/11/2024
Edited by: Conor Lynch

Laser ablation, also known as Laser Haemorrhoidoplasty (LHP), is emerging as a highly effective, minimally invasive treatment for haemorrhoids. Haemorrhoids, or swollen blood vessels in the rectum and anus, often cause discomfort, itching, pain, and bleeding. Traditional treatments, such as rubber band ligation or surgery, can involve more pain and longer recovery times. Laser ablation offers an alternative that typically leads to faster healing, less pain, and a quicker return to normal activities.

In laser ablation of haemorrhoids, a specialised laser probe is inserted into the haemorrhoid tissue to deliver precise, targeted energy that causes the blood vessels to shrink and collapse. The heat generated by the laser also cauterises the area, reducing bleeding and promoting natural healing.

 

Unlike traditional haemorrhoid surgery, which involves cutting tissue, laser ablation uses only small incisions, sparing the surrounding tissue and nerves. This approach not only minimises post-operative pain but also reduces the risk of complications, such as infection or delayed wound healing.

 

One of the primary benefits of laser ablation is its precision. The laser allows for targeted treatment of internal haemorrhoids, leaving healthy tissues unaffected. This precision reduces post-procedural pain and limits inflammation in the surrounding areas.

 

Additionally, the procedure is generally completed in under an hour and is often performed under local anaesthesia, which can significantly reduce the risks associated with general anaesthesia. Many patients are able to resume light activities within a day or two, with minimal downtime compared to other haemorrhoid treatments.

 

Laser haemorrhoid ablation is recommended for Grade II and Grade III haemorrhoids, which are more advanced and have not responded well to conservative treatments like dietary adjustments or medication. It is less suited to advanced Grade IV haemorrhoids, where other surgical interventions may be necessary.

 

Overall, laser ablation of haemorrhoids represents an excellent option for patients seeking effective, low-risk relief from haemorrhoid symptoms with reduced recovery time. Consulting with a specialist can help determine if laser treatment is the best choice, based on the individual’s haemorrhoid severity and overall health profile.

By Mr Nikhil Pawa
Colorectal surgery

Mr Nikhil Pawa is a revered consultant colorectal and general surgeon who treats patients privately in various esteemed hospitals across London and at his NHS base, Chelsea and Westminster Hospital Trust. With over 20 years of experience, Mr Pawa is highly skilled in numerous surgical procedures but specialises in laparoscopic colorectal surgery and the treatment of diverticular diseases, piles (haemorrhoids), pilonidal disease and hernias. He is a specialist in the EPSiT procedure for pilonidal disease and pilonidal sinus surgery.

Mr Pawa earned his primary medical degree from Charles University, Prague, before relocating to the UK to undertake further surgical training. He completed his basic training in Nottingham, a research MD on novel screening methods to detect colorectal cancer, and higher training at the renowned North West London rotation, gaining invaluable experience in colorectal surgery at the Royal Marsden Hospital and St Marks Hospital. 

Since being appointed as a consultant, Mr Pawa has developed a special interest in laparoscopic surgery for colorectal cancer and other diseases of the colon, minimally invasive surgery for pilonidal disease, proctology, and endoscopic techniques. He possesses further expertise in general surgical procedures, such as hernia repair, and soft tissue lesions. At his NHS Trust, he is the lead for the soft tissue diagnostic sarcoma service. 

In addition to his clinical work, Mr Pawa retains an active research interest, predominantly investigating bowel cancer screening among ethnic minorities, and colorectal surgery. He is a member of several prestigious medical bodies such as the British Medical Association, the Association of Coloproctology of Great Britain and Ireland, the European Association of Coloproctology, the British Hernia Society, and the Medico-Legal Society. He is also a fellow of the Royal College of Surgeons. 

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