Anal Surgery

  1. Procedures for Hemorrhoids
  • Hemorrhoidectomy: The surgical removal of severe internal or external hemorrhoids. It is considered the most effective long-term solution.
  • Stapled Hemorrhoidopexy (Longo Method): A procedure that uses a circular stapling device to “lift” the hemorrhoidal tissue and cut off its blood supply.
  • Laser Hemorrhoidoplasty (LHP): A minimally invasive treatment using laser energy to shrink hemorrhoids without incisions.
  • Rubber Band Ligation: A common office procedure where small bands are placed around the base of internal hemorrhoids to make them wither and fall off.
  1. Procedures for Anal Fistulas & Abscesses
  • Fistulotomy: The most common surgery for fistulas, where the surgeon opens the entire length of the tunnel so it can heal as a flat scar.
  • Seton Placement: A surgical thread (Seton) is placed through the fistula tract to keep it open for drainage, preventing new abscesses.
  • LIFT Procedure (Ligation of Intersphincteric Fistula Tract): A specialized technique to close complex fistulas while protecting the sphincter muscles.
  • Abscess Drainage: An emergency procedure to safely drain pus and relieve pressure from a perianal infection.
  1. Procedures for Anal Fissures
  • Lateral Internal Sphincterotomy (LIS): The gold standard for chronic fissures. A small cut is made in the internal sphincter muscle to reduce tension, allow blood flow, and promote healing.
  • Anoplasty: A reconstructive surgery used for severe scarring or stenosis (narrowing) of the anal canal.
  1. Procedures for Pilonidal Disease & Warts
  • Pilonidal Cystectomy: Removal of a cyst or sinus tract at the tailbone. This can be done via “open” healing, “closed” with stitches, or using Laser (SiLaC) for faster recovery.
  • Excision of Anal Warts (Condyloma): Surgical removal or cauterization of warts caused by HPV.
  1. Advanced & Reconstructive Surgeries
  • Rectopexy: Used to repair Rectal Prolapse by securing the rectum back into its proper anatomical position, often performed laparoscopically.
  • Sphincteroplasty: Repair of the anal sphincter muscles to treat fecal incontinence, often following birth trauma or injury.