Proctology & Laparoscopic
Treatments

Rubber Band Ligation (RBL / Banding)

A minimally invasive outpatient procedure where a tight band is placed at the base of internal haemorrhoids, cutting off the blood supply and causing them to shrink and fall off.

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Laser Hemorrhoidoplasty

A minimally invasive laser-based treatment that delivers controlled energy into hemorrhoidal tissue, leading to shrinkage with minimal pain, no cuts, and faster recovery.

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Hemorrhoidectomy (Milligan-Morgan / Ferguson)

A definitive surgical procedure involving the removal of hemorrhoidal tissue, performed using open or closed techniques for long-term relief in advanced cases.

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Stapled Hemorrhoidopexy (PPH / MIPH)

A stapling technique that removes excess rectal mucosa and repositions prolapsed haemorrhoids, reducing blood flow and improving symptoms with less pain.

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HAL / THD with Mucopexy

A Doppler-guided procedure that identifies and ligates hemorrhoidal arteries, combined with tissue lifting to reduce prolapse and bleeding.

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Infrared Coagulation (IRC)

A non-surgical method using infrared light to coagulate hemorrhoidal tissue, leading to shrinkage and symptom relief in early-stage cases.

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Fistulotomy

A surgical procedure where the fistula tract is opened and cleaned, allowing it to heal naturally from within while reducing recurrence risk.

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Seton Placement

Insertion of a surgical thread through the fistula tract to allow continuous drainage, promote healing, and protect sphincter muscles.

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LIFT Procedure

A sphincter-preserving technique that closes the internal fistula opening through an intersphincteric approach, minimising recurrence.

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Fistulectomy

Complete removal of the fistula tract to eliminate infection, resulting in healing over time with careful wound management.

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Endorectal / Endoanal Advancement Flap

A reconstructive procedure using healthy tissue to cover the internal opening after tract removal, preserving sphincter function.

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VAAFT

A video-assisted technique that allows direct visualisation and internal treatment of the fistula tract with minimal tissue damage.

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FiLaC

A laser-based procedure using radial energy to close the fistula tract, offering a minimally invasive, sphincter-preserving option.

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Fistula Plug / Fibrin Glue

Use of biological or synthetic materials to seal the fistula tract, promoting healing without cutting the surrounding muscle.

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Lateral Internal Sphincterotomy (LIS)

A procedure that partially releases the internal anal sphincter, reducing pressure and improving blood flow to promote fissure healing.

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Fissurectomy

Removal of chronic fissure tissue and scarred edges to convert it into a fresh wound, encouraging proper healing.

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Advancement Flap / Anoplasty

A reconstructive technique using nearby healthy tissue to cover the fissure defect, especially in recurrent or complex cases.

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Incision and Drainage (I&D)

A surgical procedure to open and drain pus from an abscess cavity, relieving pain, reducing pressure, and controlling infection.

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EUA + Drainage

Examination under anaesthesia to assess the extent of the abscess and any associated fistula, followed by complete drainage.

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Polypectomy

Endoscopic removal of polyps using specialised instruments during colonoscopy helps prevent progression to malignancy.

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Transanal Excision / TAMIS / TEM

Minimally invasive techniques to remove rectal lesions through the anal canal using advanced platforms and direct visualisation.

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Endoscopic Mucosal Resection (EMR)

Removal of superficial lesions by lifting and resecting the mucosal layer is suitable for smaller, early-stage growths.

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Endoscopic Submucosal Dissection (ESD)

Advanced technique enabling en bloc removal of deeper lesions through precise dissection, ensuring clear margins.

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Incision and Drainage (Acute Abscess)

Emergency procedure to drain an infected pus collection, relieving pain and controlling infection in acute presentations.

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Bascom Cleft Lift

A reconstructive procedure that flattens the natal cleft and shifts the incision away from midline to reduce recurrence.

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Karydakis Flap

An off-midline flap technique that removes sinus tracts and repositions tissue to prevent hair accumulation and recurrence.

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Limberg Flap (Rhomboid Flap)

Excision of the sinus followed by coverage using a rhomboid-shaped flap to ensure better healing and lower recurrence.

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Excision with Open Healing

Complete removal of the sinus tract with the wound left open to heal naturally, reducing recurrence risk.

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Excision with Primary Closure

Removal of the sinus followed by immediate suturing of the wound for faster healing, though recurrence risk may vary.

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Pit Picking

A minimally invasive technique removing sinus openings through small incisions with quicker recovery.

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EPSiT

An endoscopic procedure that visualises and removes the sinus tract internally using camera-guided instruments.

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Rectopexy

A surgical procedure that repositions and secures the rectum to its normal anatomical position to prevent prolapse.

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Ventral Mesh Rectopexy

A nerve-sparing technique using mesh to support and fix the rectum, improving function and reducing recurrence.

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Delorme Procedure

A perineal approach, removing the mucosal layer and tightening the muscle for short-segment prolapse.

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Altemeier Procedure

A perineal surgery involving full-thickness removal of the prolapsed rectum is often used in high-risk patients.

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Resection Rectopexy

Combines removal of redundant bowel with rectal fixation to treat prolapse and improve bowel function.

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Thiersch Procedure

Placement of supportive material around the anus to provide mechanical support in selected cases.

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Sacral Neuromodulation (SNM)

Implantation of a neurostimulator to regulate sacral nerves and improve bowel control.

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Overlapping Sphincteroplasty

Reconstruction of damaged anal sphincter muscles to restore continence.

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Artificial Bowel Sphincter

An implantable device that mimics sphincter function through controlled inflation and deflation.

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Stoma (Colostomy / Ileostomy)

Creation of an abdominal opening to divert stool when normal bowel control cannot be restored.

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Pelvic Floor Therapy / Biofeedback

Non-surgical therapy that retrains pelvic muscles using feedback techniques to improve coordination during bowel movements.

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Rectocele Repair

Surgical correction of rectal bulging into the vaginal wall by reinforcing the supporting tissue.

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Rectopexy

Procedure to reposition and secure the rectum, improving function and reducing associated symptoms.

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STARR Procedure

Stapled procedure removing excess rectal tissue to improve obstructed defecation and bowel emptying.

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Subtotal Colectomy

Removal of a major portion of the colon for severe constipation not responding to medical treatment.

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Ventral Rectopexy

A mesh-based rectal support procedure improves bowel function and relieves obstruction.

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STARR Procedure

Stapled removal of redundant rectal tissue to ease stool passage.

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Rectocele Repair

Correction of the structural defect contributing to obstructed defecation.

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Total Proctocolectomy with IPAA (J-Pouch)

Removal of the colon and rectum with creation of an ileal pouch connected to the anus to maintain bowel continuity.

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Subtotal Colectomy

Partial removal of the colon to manage severe disease when medical therapy fails.

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Total Proctocolectomy with End Ileostomy

Complete removal of colon and rectum with permanent ileostomy for stool diversion.

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Ileocecal Resection

Removal of the terminal ileum and cecum is commonly performed for localised Crohn's disease.

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Stricturoplasty

Procedure to widen narrowed bowel segments without removing intestine, preserving bowel length.

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Segmental Bowel Resection

Removal of diseased bowel segment with reconnection of healthy ends for effective disease management.

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Laparoscopic Hernia Repair: TEP / TAPP

A minimally invasive technique to repair inguinal hernia using mesh placement through small incisions, reducing pain, lowering recurrence risk, and enabling faster recovery.

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Laparoscopic Ventral / Incisional Hernia Repair

An advanced laparoscopic approach to repair abdominal wall hernias using mesh support, offering less pain, shorter hospital stay, and quicker return to daily activities.

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Open Mesh Hernia Repair

A traditional surgical method using mesh to reinforce the weakened area, providing a durable repair and effective symptom relief in suitable hernia cases.

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Open Ventral / Incisional Hernia Repair

An open surgical approach for larger or complex hernias using mesh reinforcement, allowing direct access and ensuring long-term stability.

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Component Separation

A specialised reconstructive technique that separates muscle layers to close large abdominal wall defects, enabling tension-free repair and improved structural strength.

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Laparoscopic Cholecystectomy

A minimally invasive procedure to remove the gallbladder through small incisions, offering effective relief from gallstones with less pain and faster recovery.

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ERCP with Stone Extraction / Stenting

An endoscopic procedure to remove bile duct stones or place stents, restoring bile flow and preventing complications such as infection or jaundice.

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Open Cholecystectomy

A surgical procedure to remove the gallbladder through a larger incision, typically performed in complex cases where laparoscopic surgery is not suitable.

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Laparoscopic Common Bile Duct Exploration (LCBDE)

A minimally invasive technique to remove bile duct stones during gallbladder surgery, avoiding the need for additional procedures.

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Laparoscopic Appendectomy

A minimally invasive removal of the appendix using small incisions results in less pain, quicker healing, and faster return to normal activities.

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Open Appendectomy

A traditional surgical removal of the appendix through a small abdominal incision is commonly used in complicated or emergency cases.

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Drainage of Appendicular Abscess

A procedure to drain pus from an abscess caused by appendicitis, helping control infection and stabilise the patient before further treatment.

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Hemithyroidectomy / Thyroid Lobectomy

Removal of one lobe of the thyroid gland to treat nodules or localised disease while preserving the remaining thyroid function.

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Total Thyroidectomy

Complete removal of the thyroid gland, typically performed for cancer or severe disease, requires lifelong hormone replacement.

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Completion Thyroidectomy

A second-stage procedure to remove remaining thyroid tissue after partial removal, usually done when cancer is confirmed.

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Isthmusectomy

Removal of the thyroid isthmus to treat small, localised nodules with minimal impact on overall gland function.

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Subtotal / Near-Total Thyroidectomy

Removal of most thyroid tissue while preserving a small portion, balancing disease control and hormonal function.

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Excisional Biopsy (Breast Lump Excision)

Surgical removal of a breast lump for diagnosis and treatment, helping determine whether the lump is benign or malignant.

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Lumpectomy / Wide Local Excision

Breast-conserving surgery that removes the tumour along with surrounding tissue while preserving breast shape.

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Oncoplastic Lumpectomy

An advanced technique combining tumour removal with cosmetic reconstruction to maintain breast appearance.

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Sentinel Lymph Node Biopsy (SLNB)

A procedure to assess the first lymph nodes for cancer spread, reducing the need for extensive node removal.

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Axillary Lymph Node Dissection (ALND)

Surgical removal of multiple lymph nodes to evaluate or control cancer spread in advanced cases.

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Mastectomy

Complete removal of breast tissue to treat or prevent cancer, sometimes followed by reconstructive surgery.

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Excision Biopsy / Wide Local Excision

Removal of skin tumours along with a margin of healthy tissue to ensure complete clearance and reduce recurrence risk.

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Mohs Micrographic Surgery

A precise technique removing skin cancer layer by layer while preserving healthy tissue and ensuring high cure rates.

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Skin Graft / Local Flap Reconstruction

Reconstructive procedures using grafts or nearby tissue to cover defects and restore function and appearance.

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Curettage and Electrodessication

A procedure that scrapes abnormal tissue and uses electric current to destroy remaining cells, suitable for superficial lesions.

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Sentinel Lymph Node Biopsy

A diagnostic procedure to detect early spread of melanoma by evaluating key lymph nodes.

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Endovenous Laser Ablation (EVLA)

A laser-based treatment that seals affected veins from within, reducing symptoms and improving appearance with minimal downtime.

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Radiofrequency Ablation (RFA)

A minimally invasive procedure using heat energy to close diseased veins and improve blood circulation.

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Ultrasound-Guided Foam Sclerotherapy (UGFS)

Injection of medicated foam into veins under imaging guidance to collapse them and relieve symptoms.

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Ambulatory Phlebectomy

Removal of visible veins through tiny punctures, offering immediate relief with minimal scarring.

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High Ligation and Stripping

A traditional surgical method to tie and remove affected veins, used in selected cases for long-term relief.

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Cyanoacrylate Closure (Glue)

A non-thermal technique using medical adhesive to seal veins, providing a quick and minimally invasive treatment option.

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Lipoma Excision (Open Removal)

Surgical removal of fatty lumps through a small incision provides permanent relief with minimal risk of recurrence.

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Minimal-Incision Extraction

A technique using a very small incision to remove lipomas, reducing scarring and promoting faster healing.

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Liposuction-Assisted Lipoma Removal

A suction-based technique to remove fatty tissue, especially useful for larger lipomas with better cosmetic outcomes.

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Cyst Excision

Complete removal of the cyst along with its wall to prevent recurrence and ensure long-term resolution.

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Incision and Drainage (I&D)

A procedure to open and drain infected cysts, relieving pain and controlling infection effectively.

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Marsupialization

A technique where the cyst is opened and sutured to allow continuous drainage and prevent recurrence.

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Cyst Aspiration

A minimally invasive procedure to remove cyst fluid using a needle, providing temporary relief in selected cases.

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Laparoscopic Nissen Fundoplication

A surgical procedure that wraps the stomach around the oesophagus to strengthen the valve and prevent acid reflux.

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Hiatal Hernia Repair

Surgical correction of a diaphragm defect to restore normal anatomy and reduce reflux symptoms.

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Toupet Fundoplication

A partial wrap procedure that controls reflux while reducing side effects like difficulty swallowing.

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TIF (Transoral Incisionless Fundoplication)

An incisionless endoscopic procedure that creates a reflux barrier through the mouth.

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LINX Magnetic Sphincter Augmentation

Placement of a magnetic ring around the oesophagus to prevent reflux while allowing normal swallowing.

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Corn / Callus Debridement (Paring)

Removal of thickened skin using specialised tools to relieve pain and improve walking comfort.

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Corn Excision (Cornectomy)

Surgical removal of persistent corns to eliminate pain and prevent recurrence.

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Corrective Procedure for Bony Prominence

Surgery to correct underlying bone deformity, addressing the root cause of recurring corns.

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Wedge Resection

A technique that removes a wedge-shaped section of tissue to treat deep or recurrent corns effectively.

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