A New Era in Anorectal Care: Heal Faster and Feel Better With Revolutionising Treatments for Haemorrhoids, Fissures and Prolapse

A New Era in Anorectal Care: Heal Faster and Feel Better With Revolutionising Treatments for Haemorrhoids, Fissures and Prolapse
  • Dr. Kishan Rao — Consultant General and Laparoscopic Surgeon, Mangalore, trained in Cardiovascular and Thoracic Surgery from AIIMS, New Delhi and SCTIMST, Thiruvananthapuram, Founder of The White Army - Free online medical education platform
  • Dr. Prafulla Kumar Tamaskar — General Surgeon at Vinayak Hospital, Warje, Pune

Gastroenterology · General Surgery

A new era in anorectal care is transforming the treatment landscape for common conditions like haemorrhoids, anal fissures, and rectal prolapse. Recent advancements in medical technology and surgical techniques are significantly improving patient outcomes, with faster recovery times and fewer complications. Non-invasive treatments, such as laser therapies, infrared coagulation, and stapled hemorrhoidopexy have emerged, offering patients effective alternatives to traditional methods. These innovations minimise pain, shorten hospital stays, and reduce the risk of recurrence. For conditions like anal fissures, tailored approaches, such as laser sphincterotomy are enhancing healing while preserving sphincter function. In cases of rectal prolapse, both laparoscopic and perineal surgical techniques offer less invasive solutions, improving recovery and reducing the need for extensive interventions. With a comprehensive approach, including advanced diagnostics and personalised treatment plans, patients now have access to more efficient, less traumatic options for managing these distressing anorectal conditions, promoting faster healing and better quality of life. Learning Objectives: • Identify and differentiate the various symptoms of haemorrhoids, including atypical presentations, and understand their implications for diagnosis and management • Conduct a thorough diagnostic work-up for patients with haemorrhoids, anal fissure, and rectal prolapse utilising appropriate clinical assessments, imaging techniques, and patient history • Implement the 2024 ASCRS clinical practice guidelines for haemorrhoid management, considering both conservative and surgical approaches for effective treatment • Evaluate and manage the indications, contraindications, and complications associated with rubber band ligation, infrared coagulation, laser haemorrhoidoplasty, and stapled haemorrhoidopexy in haemorrhoid treatment • Develop a comprehensive treatment plan for patients with haemorrhoids, anal fissures, and rectal prolapse, integrating both non-surgical and surgical approaches, and incorporating evidence-based guidelines to address special populations such as pregnant women, children, and patients with inflammatory bowel disease