{"id":8745,"date":"2026-01-28T09:00:00","date_gmt":"2026-01-28T01:00:00","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=8745"},"modified":"2026-02-06T11:25:36","modified_gmt":"2026-02-06T03:25:36","slug":"modernizing-proctology-the-shift-to-laser-hemorrhoidoplasty-and-fistula-closure","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/fr\/modernizing-proctology-the-shift-to-laser-hemorrhoidoplasty-and-fistula-closure.html","title":{"rendered":"Moderniser la proctologie : Le passage \u00e0 l'h\u00e9morro\u00efdoplastie au laser et \u00e0 la fermeture des fistules"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Dans le paysage de la chirurgie g\u00e9n\u00e9rale, la proctologie a toujours \u00e9t\u00e9 associ\u00e9e \u00e0 une morbidit\u00e9 postop\u00e9ratoire importante. Les techniques traditionnelles de \u201ccoupe et suture\u201d, telles que l'h\u00e9morro\u00efdectomie de Milligan-Morgan, bien qu'efficaces, sont tristement c\u00e9l\u00e8bres pour leurs douleurs postop\u00e9ratoires atroces et leurs p\u00e9riodes de convalescence prolong\u00e9es. En tant que sp\u00e9cialistes des lasers m\u00e9dicaux, nous assistons \u00e0 un changement de paradigme global vers <strong>H\u00e9morro\u00efdoplastie au laser (LHP)<\/strong> et la fermeture de fistule assist\u00e9e par laser. Cette transition n'est pas seulement cosm\u00e9tique, elle est aussi fonctionnelle. En utilisant des longueurs d'onde sp\u00e9cifiques - principalement 980 nm et 1470 nm - les chirurgiens peuvent d\u00e9sormais proposer des proc\u00e9dures curatives qui pr\u00e9servent l'anatomie d\u00e9licate du sphincter anal et de l'anoderme. Cette revue clinique explore les m\u00e9canismes, les protocoles et les avantages \u00e9conomiques de l'int\u00e9gration de la technologie de la radioth\u00e9rapie dans le traitement du cancer du col de l'ut\u00e9rus. <strong>\u00e9quipement laser pour la proctologie<\/strong> dans le bloc op\u00e9ratoire moderne.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le m\u00e9canisme d'action : R\u00e9tr\u00e9cissement ou excision<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pour comprendre la <strong>avantages de l'h\u00e9morro\u00efdoplastie au laser<\/strong>, Il convient de faire la distinction entre <em>excision<\/em> (couper) et <em>ablation<\/em> (destruction contr\u00f4l\u00e9e). La chirurgie traditionnelle consiste \u00e0 retirer enti\u00e8rement le coussin h\u00e9morro\u00efdaire, ce qui endommage souvent l'anoderme sensoriel et peut entra\u00eener une st\u00e9nose ou une incontinence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La proctologie au laser fonctionne selon le principe suivant <strong>Mucopexie et fibrose<\/strong>.<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Vaporisation :<\/strong> Une fibre laser sp\u00e9cialis\u00e9e est ins\u00e9r\u00e9e dans la pile h\u00e9morro\u00efdaire. L'\u00e9nergie cible l'eau et l'h\u00e9moglobine dans le corps caverneux.<\/li>\n\n\n\n<li><strong>D\u00e9naturation des prot\u00e9ines :<\/strong> La chaleur provoque la d\u00e9naturation des structures prot\u00e9iques, ce qui entra\u00eene un r\u00e9tr\u00e9cissement important du volume des tissus sans plaies ouvertes.<\/li>\n\n\n\n<li><strong>Adh\u00e9sion fibrotique :<\/strong> Apr\u00e8s l'op\u00e9ration, le tissu trait\u00e9 cr\u00e9e une fibrose st\u00e9rile. Ce tissu cicatriciel recolle la muqueuse \u00e0 la couche musculaire sous-jacente (mucopexie), ce qui permet de r\u00e9soudre efficacement le prolapsus et d'\u00e9viter les r\u00e9cidives.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">La sup\u00e9riorit\u00e9 du 1470nm<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Alors que les premiers protocoles utilisaient la technologie 980 nm, l'industrie s'est orient\u00e9e vers la technologie <strong>Laser \u00e0 diode 1470nm pour la proctologie<\/strong>. La longueur d'onde de 1470nm a un coefficient d'absorption de l'eau environ 40 fois sup\u00e9rieur \u00e0 celui de 980nm. La pile h\u00e9morro\u00efdaire \u00e9tant riche en eau, la longueur d'onde de 1470nm permet :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9glages de puissance inf\u00e9rieurs :<\/strong> Ablation efficace \u00e0 6-10 watts contre 15-20 watts.<\/li>\n\n\n\n<li><strong>Zone thermique confin\u00e9e :<\/strong> La chaleur ne se propage pas au muscle sphincter, ce qui r\u00e9duit consid\u00e9rablement le risque de l\u00e9sion thermique et d'incontinence postop\u00e9ratoire.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Application clinique : Traitement au laser de la fistule<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les fistules anales repr\u00e9sentent un d\u00e9fi chirurgical complexe, principalement en raison du risque d'endommager les muscles sphinct\u00e9riens lors de la fistulotomie. La technique du laser, souvent appel\u00e9e FiLaC (Fistula-tract Laser Closure), offre une alternative permettant de pr\u00e9server le sphincter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le concept est \u00e9l\u00e9gant : au lieu de couper le muscle pour ouvrir le tractus, une fibre radiale est ins\u00e9r\u00e9e dans le tractus. Lorsque la fibre est retir\u00e9e, elle d\u00e9livre de l'\u00e9nergie de mani\u00e8re circonf\u00e9rentielle, d\u00e9truisant la paroi \u00e9pith\u00e9liale et faisant s'effondrer le tractus par r\u00e9traction thermique. L'\u00e9mission \u00e0 360 degr\u00e9s de la fibre radiale permet de traiter uniform\u00e9ment l'ensemble de la lumi\u00e8re et de sceller la fistule de l'int\u00e9rieur vers l'ext\u00e9rieur.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"560\" height=\"560\" src=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/4-1.png\" alt=\"\" class=\"wp-image-8747\" srcset=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/4-1.png 560w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/4-1-300x300.png 300w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/4-1-150x150.png 150w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/4-1-12x12.png 12w\" sizes=\"auto, (max-width: 560px) 100vw, 560px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">\u00c9tude de cas clinique : H\u00e9morro\u00efdes internes de grade III<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pour d\u00e9montrer l'efficacit\u00e9 et le profil de r\u00e9cup\u00e9ration de la LHP, nous examinons une \u00e9tude de cas d'un centre sp\u00e9cialis\u00e9 de chirurgie d'un jour utilisant un syst\u00e8me de diode 1470nm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Profil du patient :<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nom :<\/strong> \u201cDavid K.\u201d<\/li>\n\n\n\n<li><strong>Donn\u00e9es d\u00e9mographiques :<\/strong> Homme de 52 ans, conducteur de poids lourds.<\/li>\n\n\n\n<li><strong>Plainte principale :<\/strong> Saignements r\u00e9currents lors des selles et prolapsus n\u00e9cessitant une r\u00e9duction manuelle (grade III). Ant\u00e9c\u00e9dents de sympt\u00f4mes depuis 8 ans.<\/li>\n\n\n\n<li><strong>Histoire pr\u00e9c\u00e9dente :<\/strong> \u00c9chec \u00e0 deux reprises de la ligature par \u00e9lastique (RBL).<\/li>\n\n\n\n<li><strong>Diagnostic :<\/strong> H\u00e9morro\u00efdes internes symptomatiques de grade III (positions 3, 7 et 11 heures).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Strat\u00e9gie de traitement :<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00e9morro\u00efdoplastie au laser (LHP) sous anesth\u00e9sie locale avec s\u00e9dation (TIVA). L'objectif \u00e9tait de r\u00e9duire les amas et d'arr\u00eater les saignements tout en permettant au patient de reprendre rapidement le travail, ce qui est crucial pour sa profession.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Param\u00e8tres du protocole :<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>Param\u00e8tres<\/strong><\/td><td><strong>R\u00e9glage \/ Valeur<\/strong><\/td><td><strong>Raison d'\u00eatre clinique<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>Longueur d'onde<\/strong><\/td><td>1470 nm<\/td><td>Maximise l'absorption d'eau pour une r\u00e9traction en douceur de la muqueuse.<\/td><\/tr><tr><td><strong>Type de fibre<\/strong><\/td><td>Fibre conique (pointe ac\u00e9r\u00e9e)<\/td><td>Facilite la ponction dans le n\u0153ud h\u00e9morro\u00efdaire sans incision.<\/td><\/tr><tr><td><strong>Puissance<\/strong><\/td><td>10 Watts (puls\u00e9)<\/td><td>Le mode puls\u00e9 (par exemple, 2 s ON \/ 1 s OFF) emp\u00eache l'accumulation de chaleur.<\/td><\/tr><tr><td><strong>Livraison d'\u00e9nergie<\/strong><\/td><td>Bas\u00e9 sur les tirs<\/td><td>3-4 \u201ctirs\u201d par n\u0153ud, en retirant la fibre de 5 mm par tir.<\/td><\/tr><tr><td><strong>\u00c9nergie totale<\/strong><\/td><td>~250-300 Joules par n\u0153ud<\/td><td>Une dosim\u00e9trie pr\u00e9cise permet d'\u00e9viter la n\u00e9crose\/la desquamation des muqueuses.<\/td><\/tr><tr><td><strong>Refroidissement<\/strong><\/td><td>Banques de glace externes<\/td><td>Appliqu\u00e9 imm\u00e9diatement apr\u00e8s l'op\u00e9ration pour r\u00e9duire l'\u0153d\u00e8me.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00c9tapes perop\u00e9ratoires :<\/strong><\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Acc\u00e8s :<\/strong> Une ponction minimale est effectu\u00e9e \u00e0 la base de l'h\u00e9morro\u00efde.<\/li>\n\n\n\n<li><strong>Insertion :<\/strong> La fibre laser est avanc\u00e9e jusqu'\u00e0 l'apex de la pile (en veillant \u00e0 ne pas toucher la muqueuse).<\/li>\n\n\n\n<li><strong>Ablation :<\/strong> L'\u00e9nergie est d\u00e9livr\u00e9e sous forme d'impulsions. Une confirmation visuelle du r\u00e9tr\u00e9cissement et du blanchiment de la pile est observ\u00e9e.<\/li>\n\n\n\n<li><strong>Ach\u00e8vement :<\/strong> La fibre est retir\u00e9e. Aucune suture n'est n\u00e9cessaire.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>R\u00e9cup\u00e9ration post-op\u00e9ratoire :<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Imm\u00e9diate (PACU) :<\/strong> Score de douleur VAS : 2\/10. Le patient s'est d\u00e9plac\u00e9 en moins d'une heure.<\/li>\n\n\n\n<li><strong>Jour 1 :<\/strong> L\u00e9g\u00e8re sensation de pression\/de pl\u00e9nitude (r\u00e9action normale \u00e0 l'\u0153d\u00e8me). Pas de saignement.<\/li>\n\n\n\n<li><strong>Jour 4 :<\/strong> Le patient a repris la conduite de son camion. Une intervention chirurgicale traditionnelle aurait n\u00e9cessit\u00e9 un arr\u00eat de travail de 2 \u00e0 3 semaines.<\/li>\n\n\n\n<li><strong>Semaine 4 :<\/strong> Prolapsus compl\u00e8tement r\u00e9solu.<\/li>\n\n\n\n<li><strong>Mois 6 :<\/strong> Pas de r\u00e9cidive.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Conclusion clinique :<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La pr\u00e9servation de la structure anatomique a permis au patient de ne pas souffrir de st\u00e9nose anale (r\u00e9tr\u00e9cissement) ou d'incontinence. Le temps de r\u00e9tablissement de la chirurgie des h\u00e9morro\u00efdes a \u00e9t\u00e9 r\u00e9duit par 80% par rapport \u00e0 l'excision conventionnelle.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le cas \u00e9conomique : Retour sur investissement de l'\u00e9quipement laser pour la proctologie<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pour les cliniques priv\u00e9es, l'adoption de la proctologie au laser est une d\u00e9cision financi\u00e8re strat\u00e9gique.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Efficacit\u00e9 de la proc\u00e9dure<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Une h\u00e9morro\u00efdectomie typique de Milligan-Morgan dure de 30 \u00e0 45 minutes et n\u00e9cessite souvent une anesth\u00e9sie g\u00e9n\u00e9rale et un s\u00e9jour d'une nuit. En revanche, la LHP prend 15 \u00e0 20 minutes et est une v\u00e9ritable intervention ambulatoire r\u00e9alis\u00e9e sous anesth\u00e9sie locale ou sous bloc s\u00e9dentaire.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00e9bit :<\/strong> Un chirurgien peut effectuer 6 \u00e0 8 <a href=\"https:\/\/fotonmedix.com\/fr\/vimail-case-sharing-application-case-of-high-energy-laser-therapy-for-swollen-forepaw.html\/\" title=\"Vimail Case Sharing | Cas d&#039;application de la th\u00e9rapie au laser \u00e0 haute \u00e9nergie pour une patte avant enfl\u00e9e\"  data-wpil-monitor-id=\"4233\">\u00e9tuis pour laser<\/a> en l'espace de trois interventions chirurgicales traditionnelles.<\/li>\n\n\n\n<li><strong>Utilisation des ressources :<\/strong> \u00c9limine le besoin d'agrafeuses \u00e9lectrochirurgicales ou de scalpels harmoniques co\u00fbteux. Le principal consommable est la fibre st\u00e9rile ($80-$120).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Avantage marketing<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les patients recherchent activement une \u201cchirurgie des h\u00e9morro\u00efdes sans douleur\u201d et une \u201cchirurgie des h\u00e9morro\u00efdes sans douleur\".\u201c<a href=\"https:\/\/fotonmedix.com\/fr\/categorie\/produit\/\"   title=\"Produits\"  data-wpil-monitor-id=\"2367\">traitement au laser<\/a>.\u201d En proposant ces modalit\u00e9s avanc\u00e9es, une clinique se positionne comme un centre d'excellence haut de gamme. Le consentement \u00e0 payer (de sa poche) pour la chirurgie au laser est nettement plus \u00e9lev\u00e9 en raison de la promesse d'un r\u00e9tablissement sans douleur.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Frais moyens (US\/EU) :<\/strong> $2,500 - $4,000 par caisse.<\/li>\n\n\n\n<li><strong>Le seuil de rentabilit\u00e9 :<\/strong> Un syst\u00e8me standard de laser \u00e0 diode m\u00e9dicale de 15 watts ($8k-$15k) permet d'obtenir un retour sur investissement dans un d\u00e9lai de 5 \u00e0 10 proc\u00e9dures.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Choisir le bon \u00e9quipement<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tous les lasers ne sont pas adapt\u00e9s aux tissus d\u00e9licats du canal anal.<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Compatibilit\u00e9 des fibres :<\/strong> Le syst\u00e8me doit prendre en charge <strong>Fibres coniques<\/strong> (pour percer les h\u00e9morro\u00efdes) et <strong>Fibres radiales<\/strong> (pour les fistules). Un appareil limit\u00e9 aux fibres nues est dangereux en proctologie car le faisceau dirig\u00e9 vers l'avant peut perforer la paroi rectale.<\/li>\n\n\n\n<li><strong>Gestion du pouls :<\/strong> Le logiciel doit permettre un contr\u00f4le pr\u00e9cis de la dur\u00e9e de l'impulsion (par exemple, de 0,1 \u00e0 5 secondes). L'onde continue (CW) est rarement utilis\u00e9e dans le LHP en raison du risque de surchauffe ; les modes \u201cOne Shot\u201d ou \u201cRepeat Pulse\u201d sont essentiels.<\/li>\n\n\n\n<li><strong>Hygi\u00e8ne :<\/strong> La pi\u00e8ce \u00e0 main (adaptateur du proctoscope) doit \u00eatre enti\u00e8rement autoclavable.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L'\u00e8re de la chirurgie rectale douloureuse et d\u00e9bilitante touche \u00e0 sa fin. <strong>Traitement au laser de la fistule<\/strong> et les h\u00e9morro\u00efdes repr\u00e9sente la convergence de la demande de confort des patients et de la demande de pr\u00e9cision des chirurgiens. En passant de l'excision \u00e0 l'ablation, nous pr\u00e9servons la fonction et l'anatomie. Pour l'\u00e9tablissement m\u00e9dical, l'investissement dans des <strong>\u00e9quipement laser pour la proctologie<\/strong> n'est pas seulement une am\u00e9lioration de la technologie, c'est aussi une am\u00e9lioration de la qualit\u00e9 des soins. Chez Fotonmedix, nous savons qu'en proctologie, la diff\u00e9rence entre le succ\u00e8s et la complication se mesure en millim\u00e8tres et en joules - une pr\u00e9cision que seule la technologie avanc\u00e9e des diodes peut offrir.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">FAQ<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Q1 : L'h\u00e9morro\u00efdoplastie au laser est-elle totalement indolore ?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bien qu'aucune chirurgie ne soit indolore, la LHP est nettement moins douloureuse que la chirurgie de coupe traditionnelle. La plupart des patients d\u00e9crivent la sensation post-op\u00e9ratoire comme une \u201cpression\u201d ou un \u201cbleu\u201d plut\u00f4t qu'une douleur aigu\u00eb. Les narcotiques sont rarement n\u00e9cessaires apr\u00e8s les premi\u00e8res 24 heures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q2 : Les h\u00e9morro\u00efdes peuvent-elles r\u00e9appara\u00eetre apr\u00e8s le traitement au laser ?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le taux de r\u00e9cidive de la LHP est comparable \u00e0 celui de la chirurgie traditionnelle (environ 5-10% sur 5 ans). Cependant, comme l'anatomie est pr\u00e9serv\u00e9e, la proc\u00e9dure peut facilement \u00eatre r\u00e9p\u00e9t\u00e9e si n\u00e9cessaire, contrairement \u00e0 la chirurgie traditionnelle qui laisse un tissu cicatriciel rendant la r\u00e9op\u00e9ration difficile.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q3 : Quel est le taux de r\u00e9ussite de la fermeture de fistule au laser (FiLaC) ?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les taux de r\u00e9ussite varient en fonction de la complexit\u00e9 mais se situent g\u00e9n\u00e9ralement entre 70% et 85% pour une fermeture primaire. Le principal avantage est que m\u00eame en cas d'\u00e9chec, le muscle sphincter est intact, ce qui \u00e9vite le risque d'incontinence associ\u00e9 \u00e0 l'ouverture de la fistule.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q4 : La proc\u00e9dure est-elle couverte par une assurance ?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cela d\u00e9pend de la r\u00e9gion. Dans de nombreux pays, le code \u201ch\u00e9morro\u00efdectomie\u201d s'applique quel que soit l'outil utilis\u00e9 (laser ou scalpel). Cependant, certaines cliniques facturent un suppl\u00e9ment pour le consommable laser, ce qui peut repr\u00e9senter une d\u00e9pense suppl\u00e9mentaire pour le patient.<\/p>","protected":false},"excerpt":{"rendered":"<p>In the landscape of general surgery, proctology has historically been associated with significant postoperative morbidity. The traditional &#8220;cut and stitch&#8221; techniques, such as the Milligan-Morgan hemorrhoidectomy, while effective, are infamous for excruciating postoperative pain and prolonged recovery windows. As medical laser specialists, we are witnessing a global paradigm shift towards Laser Hemorrhoidoplasty (LHP) and laser-assisted [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"themepark_post_bcolor":"#f5f5f5","themepark_post_width":"1022px","themepark_post_img":"","themepark_post_img_po":"left","themepark_post_img_re":false,"themepark_post_img_cover":false,"themepark_post_img_fixed":false,"themepark_post_hide_title":false,"themepark_post_main_b":"","themepark_post_main_p":100,"themepark_paddingblock":false,"slim_seo":{"title":"Modernizing Proctology: The Shift to Laser Hemorrhoidoplasty and Fistula Closure - FotonMedix","description":"In the landscape of general surgery, proctology has historically been associated with significant postoperative morbidity. 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