A presentation catering to the public, covers the basic anatomy, cause, manifestations and treatment options available to treat this very common condition. Special attention given to highlight laser hemorrhoidoplasty - one of the newer modalities currently available to surgeons to treat hemorrhoids. Session ended with a simple demonstration mimicking the procedure on models.

1. Laser Treatment for
Hemorrhoids
Chea Chan Hooi
MD, MS, FMAS, DMAS, CMIA, AMM
cheachanhooi@yahoo.com
085-329333

2. Content
• Definition
• History
• Anatomy
• Why they occur
• Grades
• Symptoms
• Test
• Treatment
• Conclusion
• Q&A
• Demo

3. What are hemorrhoids?
• Hemorrhoids
– Abnormal swelling of blood vessels within anal canal and
subsequent displacement outwards
– 痔疮, piles, buasir
– Two types
• Internal
• External

4. Historical treatment

9. Anatomy

10. Why hemorrhoids occur?

11. Grades of internal hemorrhoids

12. Symptoms of hemorrhoids

16. External hemorrhoids

18. Cancer

19. Tests
• Blood test
• Colonoscopy

21. Treatment options
• Lifestyle changes
– Avoid constipation
– Physical activities
– Reduce weight
– Reading in toilet?
• Medication
• Interventions

22. Injection

23. Rubber band

24. Stapler

26. Surgery

27. Laser

43. Conclusion
• Hemorrhoids are very common
• Most common symptom is bleeding
• Can be masking a cancer
• Proper medical evaluation is important
• Laser treatment of hemorrhoids is feasible

44. Thank you!
Q&A?