Anal Fissure: Surgery vs Botox Which Is Better?
The right choice depends on fissure chronicity, sphincter status, and patient risk profile. Lateral internal sphincterotomy heals over 90% of chronic anal fissures but carries permanent continence risk. Botulinum toxin achieves 60–80% healing, is reversible, and is...
Can Appendix Surgery Be Done Through a Single Incision (SILS)?
Yes, an appendectomy can be performed through a single umbilical incision using SILS (single-incision laparoscopic surgery). All instruments pass through one port at the navel instead of three separate ports, leaving one small scar hidden inside the umbilicus. The...
Can Piles Come Back After Laser Treatment?
Piles can come back after laser treatment. Laser haemorrhoidoplasty removes the haemorrhoids precisely but it doesn’t remove the cause. Chronic straining, low fibre diet, prolonged sitting, and constipation remain after the procedure unless the patient actively...