How is it different from the outpatient option?
When the formation is large, extends into the subcutaneous tissue, is located close to the anal canal, or requires suturing of the defect, the intervention is performed in the operating room with wider anesthesia and the possibility of a full revision of the wound. This allows you to excise the formation within healthy tissue as a single block, rather than in parts, and apply a neat suture. The material must be sent for histology. Recovery takes 1–2 weeks with daily treatment and mandatory stool monitoring.
What is removed in the perianal area
The most common findings are genital warts, anal canal polyps, anal fimbriae, atheromas and papillomas. All of them are removed on an outpatient basis under local anesthesia.
The general principle is the same: the formation is excised within healthy tissue and sent for histological examination - in appearance, a benign formation is not always distinguishable from a malignant one.
Scalpel or laser
Classical excision remains a reliable and universal method. Laser destruction works without contact: the beam evaporates the tissue and at the same time seals the vessels, so there is practically no bleeding, and healing proceeds faster and with less scarring. Limitation of the laser - when the tissue is completely evaporated, there is no material left for histology, therefore, in case of suspicious formations, excision is preferable.
After the procedure
During the first few days there may be discomfort during bowel movements. Soft stools, good hygiene and sitz baths are important. Most patients return to work the next day.