Operative proctology

Surgical proctology, or surgical proctology, is a field of medicine that deals with the surgical treatment of diseases and pathologies of the rectum and perianal region.

A modern proctologist's operating room is not a set of frightening piercing and cutting instruments, our clinic uses high-tech expert equipment, new endoscopic technologies to eliminate proctological problems, and the use of minimally invasive treatment methods allows surgical intervention with minimal negative impact on the body, low risk postoperative complications, short recovery period and good aesthetic effect.

Call our center (Moscow) to find out more about all our services and prices, or leave your phone number on the website and we will call you back.

Diseases of the rectum

The rectum is the final section of the large intestine and the entire intestine, which ends with the anus. Diseases of the anorectal region can provoke the following factors:

  • malnutrition and frequent constipation;
  • sedentary lifestyle;
  • great physical activity;
  • genetic predisposition.

All this can lead to the development of hemorrhoids, anal fissures, fistulas, etc. Our doctors have extensive experience and work experience in the treatment of proctological diseases and in the field of surgical proctology. They use methods of high-precision diagnostics and effective low-traumatic treatment, and also delicately carry out all activities and procedures. We deal with any pathologies of the colon and anus, at any stage of the development of the disease.

What do we treat?

Our doctors eliminate any proctological problems:

  • rectal fistulas;
  • hemorrhoids;
  • anal fissures;
  • anal fringes;
  • epithelial coccygeal passage;
  • perianal warts;
  • polyps of the colon and rectum, anal canal;
  • benign and malignant tumors of the colon and rectum;
  • rectal prolapse;
  • and others

The most common proctological diseases are hemorrhoids and anal fissures. For these and other diseases of the rectum, our doctors use modern equipment that allows for the most painless and least traumatic operations, and the recovery period after the operation is significantly reduced. These are laser treatment, endoscopic surgery, laparoscopic surgery, robotic surgery, etc.

When should I see a doctor?

You should consult a proctologist if you have the following symptoms:

  • itching or burning in the anus;
  • swelling, skin lesions in the anus;
  • painful defecation;
  • blood or mucus in secretions.

Each of these symptoms, and even more so a combination of several or all of them, may indicate the presence of a proctological disease of the rectum or anus. It is necessary to discard the constraint and immediately consult a doctor. Since in the early stages, many problems can be dealt with by conservative methods of treatment. With the progression of the disease, surgical proctology is required. In our center surgery is carried out without pain for any diseases.

What does operative proctology include?

For the treatment of diseases of the rectum, the following operations are performed: ligation of hemorrhoids, hemorrhoidectomy (radical removal of hemorrhoids), sphincterotomy, sphincterolevatoroplasty, excision of the anal fissure, excision of the epithelial coccygeal passage, excision of the fistula of the rectum, proctoplasty, intra-abdominal rectopexy, removal of rectal polyps , desarterization of hemorrhoids, vaporization of hemorrhoids with a laser, laser removal of hemorrhoids, etc.

  • Outpatient proctology includes operations such as the removal of anal fimbriae, perianal warts, rectal or anal polyps. Modern methods often make it possible to do without placing patients in a hospital, and to carry out surgical procedures within 15–30 minutes. For this, special microsurgical techniques and instruments have been developed. Surgeons use an ultrasonic or radio wave scalpel, an electrocoagulator, etc. And a few hours after the operation, which is bloodless and without sutures, the patient can go home and return to his usual way of life. Scars after the operation are not formed, and there is practically no pain. Ambulatory surgery is cutting-edge one-day surgery.
  • Laser proctology operations are used to remove hemorrhoids, rectal fistulas, coccygeal passages, anal fimbriae, perianal condylomas, and to treat anal fissures. Laser surgery is a relatively new direction in operative proctology, which consists in laser application for the treatment of diseases of the rectum and anus. Such operations can be carried out quickly, painlessly, bloodlessly, seamlessly. This speeds up the recovery period and reduces the risk of complications. Laser surgery is used to remove hemorrhoids, coccygeal passages, fistulas and perianal warts.
  • Emergency proctology is necessary in cases where the disease of the rectum progresses rapidly, the patient's condition deteriorates sharply and there is a serious risk to his health and even life. Emergency surgery may be needed if the patient experiences severe pain in the perianal region, increased pulse rate, dizziness, flies in the eyes, blood in the feces.

Before prescribing this or that therapy for operative proctology, the surgeon will conduct tests and examinations (MRI, CT, etc.), assess the general condition of the patient, his individual characteristics and the presence of other diseases.

Pediatric surgery and plastic surgery are also available in our clinic.

Hemorrhoid treatment

Hemorrhoids is one of the most common proctological diseases. It consists in changing the veins of the anus and the formation of hemorrhoids. The disease is accompanied by bleeding and pain during bowel movements. Left untreated, hemorrhoids can lead to serious complications such as anemia, not to mention the severe discomfort and poor health of the patient associated with the disease.

In our medical center for the treatment of hemorrhoids, modern techniques of minimally invasive surgery are used, and new high-precision and efficient endoscopic equipment is used. Methods of operational proctology in the early stages of the disease are aimed at stopping the blood supply to hemorrhoids. For example, ligation of hemorrhoids - a latex ring is put on the base of the node, which stops the access of blood to the node and leads to its death. Or sclerotherapy - a special substance is injected that causes the collapse (gluing) of the veins that feed the node. Desarterization (operation HAL-RAR) consists in ligation of arteries of hemorrhoidal nodes. During laser vaporization, the contents of the hemorrhoids are evaporated using a laser, while the mucous membrane remains intact.

In our clinic, in each case, we use the most appropriate method of treating hemorrhoids or a combination of methods, which gives excellent results and prevents relapses. All manipulations are almost painless, and the recovery time after the operation is short. In some cases, hospitalization is not even required, the main thing is to follow the instructions of your doctor.

The main modern operating technologies in the clinic

Combined and laser hemorrhoidectomy

A similar name is ALONA submucosal laser hemorrhoidoplasty. During the procedure, laser evaporation of hemorrhoids occurs with the removal of the arteries of the same name. The procedure is carried out in an aquatic environment, lasts an average of about 20 minutes and allows you to effectively and painlessly solve the proctological problem.

Destruction of anal fissures with a laser

During the operation, under the influence of a laser, altered tissues in the area of crack formation are destroyed. Manipulation is less traumatic and bloodless, healthy areas are not affected.

The steps of the operation are as follows:

  • Cleansing (enemas or laxatives).
  • Rectal speculum insertion
  • Vaporization (evaporation) of the affected areas of the mucosa.
  • Processing the postoperative field.

The destruction of anal fissures with a laser is performed under local anesthesia, the duration of the operation is about half an hour, depending on the volume of the surgical intervention.

Treatment of rectal fistulas using the traditional method

Among the classical techniques, fistula closure methods have been used for a long time, such as free skin grafting to close a defect in massive fistulas, as well as open, semi-open and closed methods. All techniques are characterized by a fairly large degree of surgical intervention, require serious anesthesia and are characterized by a long recovery period.

Laser destruction of rectal fistulas (ALFA)

Laser fistula removal is a low-traumatic alternative to classical surgery, which allows you to safely and effectively close the fistula and ensure a comfortable recovery period. The doctor uses a laser to sequentially excise inflamed tissues, treats internal purulent areas, then cauterizes the outer hole.

In the process of laser exposure, the fistula is “soldered” with simultaneous coagulation of the vessels and sterilization of the wounded tissues. Manipulation is performed under intravenous or spinal anesthesia.

Laser fistulotomy

This is the simplest method of fistula laser treatment. In 80% of cases, fistulas have a relatively simple course and are located low. This makes it possible to remove the fistula with a laser using the fistulotomy method without harming the functionality of the anal sphincter.

Laser destruction of the epithelial coccygeal duct (SiLaC)

During the manipulation of the patient under spinal anesthesia, the proctologist examines the coccygeal passage directly under ultrasound control, after which he performs sanitation: cleansing the canal from inflamed tissue. Then the doctor inserts a laser light guide into the canal and "solders" it. The peculiarity of laser destruction is that the impact occurs only on the affected tissue, without affecting healthy structures.

On average, the procedure lasts about 10 minutes, depending on the specific case. After a few hours, patients can freely roll over and move, while pain is minimal.

Laser sinusotomy

One of the options for surgical treatment of pilonidal disease. The surgeon through the incision of the cyst coagulates the cavity and closes it. After the manipulation, the risk of recurrence is extremely low, and patients recover in a short time.

Laser Pit-picking

During the procedure, the doctor performs laser treatment of all primary fistulas with the destruction of their walls. The duration of the manipulation depends on the number of fistulas and their complexity. During the treatment, local or spinal anesthesia is used. When indicated, it can be combined with the SiLaC technique.

Laser methods for the treatment of proctological problems are selected individually, taking into account the characteristics of the patient, the form and stage of the pathology.

A consultation with a coloproctologist costs from 5,000 rubles. The hospital, preoperative preparation, anesthesia, surgery and other additional services are paid separately. The final cost depends on the diagnosis, the complexity of the procedure, the stage of the disease and other factors and is determined after consultation. Specify this information by phone or leave a request for a callback on the website, and the operator will contact you as soon as possible.

Our clinic also has departments: neurosurgery, ophthalmology, cosmetology, gynecology, urology, etc.

Service record



Specialists

All specialists
Rusinovich
Valery Mikhailovich

Leading specialist in coloproctology, coloproctologist

PhD

Bolikhov
Kirill Valerevich

Coloproctologist

PhD, Docent

Kitchieva
Gulmira Mustafaevna

Doctor surgeon, coloproctologist

PhD

Garanina
Anna Stanislavovna

Coloproctologist, endoscopist

PhD