Brian Chandler, Author at Adler MicroMed

Brian Chandler

Author Archives: Brian Chandler

Outpatient Hemorrhoid Treatment Options: What Patients Should Know

Hemorrhoids can cause bleeding, itching, pressure, discomfort, and prolapse, but treatment does not always require traditional surgery or a hospital stay. Today, several outpatient hemorrhoid treatment options allow appropriate patients to receive care in a physician’s office, ambulatory surgery center, or outpatient department and return home the same day. The right treatment depends on whether […]

Laser Surgery for Colorectal Conditions: Benefits Explained

Treating anorectal disease requires balancing symptom relief, durable healing, and preservation of healthy tissue. For colorectal surgeons, laser technology provides another option for selected patients with hemorrhoids, anal fistulas, and pilonidal disease. Understanding laser surgery for colorectal conditions benefits starts with recognizing that outcomes depend on the diagnosis, anatomy, technique, and patient selection. Potential advantages […]

Post Procedure Care After Rubber Band Ligation: A Patient Guide

Rubber band ligation is a commonly used office-based treatment for internal hemorrhoids. The procedure involves placing a small elastic band around the base of hemorrhoidal tissue, restricting its blood supply so the tissue shrinks and eventually separates. For most patients, recovery is relatively quick. However, understanding post procedure care after rubber band ligation can make […]

HPV Anal Wart Treatment Using Laser Technology

HPV anal wart treatment requires more than removing visible growths. Colorectal surgeons must assess disease distribution, identify lesions requiring biopsy, preserve sensitive tissue, and explain why recurrence remains possible after successful treatment. Laser technology offers an option for selected patients with anal or perianal condyloma. Its value depends on appropriate patient selection, equipment, and technique. […]

How to Improve Patient Comfort During Rectal Exams

Rectal exams are an important part of diagnosing hemorrhoids, fissures, fistulas, masses, inflammation, and other anorectal conditions. Yet even when an examination is medically routine, patients may approach it with anxiety, embarrassment, or concern about discomfort. Understanding how to improve patient comfort during rectal exams requires more than simply performing the examination quickly. Communication, privacy, […]

CO2 Laser Condyloma Treatment: Advantages Over Traditional Excision

Anal and perianal condylomas can present a difficult treatment challenge for colorectal surgeons. Lesions may be isolated and superficial, but they can also be multifocal, circumferential, recurrent, or extend into the anal canal. Treatment must remove visible disease while preserving the sensitive anoderm and minimizing unnecessary tissue injury. For appropriately selected patients, CO2 laser condyloma […]

Rubber Band Ligation Complications: What to Watch For and How to Avoid Them

Rubber band ligation is a common office-based treatment for symptomatic internal hemorrhoids. During the procedure, a clinician places a small elastic band around the base of the hemorrhoidal tissue. The band interrupts blood flow, causing the treated tissue to shrink, separate, and eventually leave a small area of scar tissue. Most patients recover without experiencing […]

Anoscopy Procedure Steps: A Practical Guide for Clinicians

Anoscopy is a focused examination of the anal canal and distal rectum used to evaluate concerns such as rectal bleeding, anorectal pain, internal hemorrhoids, inflammation, condyloma, masses, and other distal pathology. The procedure can often be performed without bowel preparation or sedation, but reliable results depend on careful preparation, controlled insertion, systematic visualization, and complete […]

Early Signs of Anal Fistula: When to Refer for Treatment

Anal fistulas can be easy to underestimate in the beginning. A patient may describe a sore spot near the anus, a “boil” that drained, intermittent swelling, or irritation that keeps coming back. In a busy primary care, GI, or colorectal setting, these symptoms may initially resemble hemorrhoids, fissures, folliculitis, or routine skin irritation. However, recognizing […]

Benefits of Outpatient Colorectal Procedures for Patients and Providers

Outpatient care has become an increasingly important part of modern colorectal treatment. For the right patient and the right condition, many anorectal procedures no longer require a traditional hospital admission. This shift can create a better experience for patients while also helping colorectal surgeons use time, staff and clinical resources more efficiently. The benefits of […]

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