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| Name | LASER ABLATION OF HYPERTROPHIED ANAL PAPILLAE |
| Video Uploader | Video From Dr Pravin J Gupta, MBBS MS Laxmi Nagar, NAGPUR, IN |
| Upload Date | This Video Uploaded At 04-02-2024 04:34:33 |
| Video Discription | DISCLAIMER- Medical Educational Video. Not to promote sexuality or Nudity. WHY SHOULD HYPERTROPHIED ANAL PAPILLAE BE REMOVED? Fibroepithelial polyps of the anus, also referred to as hypertrophied anal papillae, are structures formed by hyperplasia of connective tissue in the vicinity of the anal columns. They are usually relatively small in size and asymptomatic. Enlargement of anal papillae is thought to be due to a hyperplastic response of the modified ectoderm to chronic irritation, injury or infection. Following repeated inflammatory episodes they can hypertrophy into the rectum and be confused with adenomatous polyps. Fibroepithelial polyps of the anus should be included in the differential diagnosis of a smooth mass located near the anal verge, especially in a patient with a history of chronic anal irritation or infection. Fibroepithelial polyps of the anus, also known as hypertrophied anal papillae, are common lesions that have attracted little attention in the medical literature. They are enlarged, benign, polypoid projections of the anal squamous epithelium and the subepithelial connective tissue. These lesions are present in 45% of patients who undergo proctoscopic examination and are considered to be acquired triangular protrusions that arise from the base of the rectal columns of Morgagni at the dentate line. Fibroepithelial anal polyps are considered to originate from the anal papillae, which are projections at the mucocutaneous junction of the upper anal canal that give the serrated appearance of the pectinate line on proctoscopy. When anal papillae become hypertrophic they may form fibroepithelial anal polyps.1 Hypertrophic papillae/fibroepithelial anal polyps are benign acquired lesions commonly encountered on proctoscopy; they are not usually associated with specific symptoms, although they have received scant research attention. The hypertrophic anal papillae and fibroepithelial polyps are benign lesions consisting of myxoid or collagenous stroma covered by squamous epithelium. They contain mononucleated and multinucleated stromal cells with fibroblastic and myofibroblastic differentiation, and mast cells. The occurrence of stromal atypia usually encountered in large size hypertrophic anal papillae/fibroepithelial polyps is considered to be reactive or reparative. Awareness of stromal atypia will reduce the likelihood of the misinterpretation of these lesions as malignant tumours. With respect to aetiology, hypertrophic anal papillae and fibroepithelial polyps are considered as a hypertrophic response of the modified anoderm in the region of the anal columns to irritation, injury or infection. In the past, these structures were not given any importance and were left untreated. Those patients, in whom, the fissure in anus was treated but the concomitant papillae or polyps were left untouched, continued to complain of pruritus, wetness, or an intermittent pricking sensation in the anus. Those with fibrous polyps felt incompletely treated due to a feeling of something projecting from the anus. Even a case of giant hypertrophied anal papilla complicated with a massive anal bleeding and prolapse was reported. |
| Category | Science & Technology |
| Tags | #sphincterolysis | # internal sphincter manipulation | # chronic anal fissures | # spastic internal sphincter fibers | # sphincterotomy | # minimally invasive for anal fissures | # anal fissure treatment | # anal incontinence | # quick treatment for anal fissure | # painless treatment for anal fissures # post fissure abscess | # post fissure tags | # hypertrophied anal papillae | LASER | LASER ABLATION | DIODE LASER | APPLICATION OF LASER BEAM | LASER SURGERY | LASER ADVANTAGES | LASER PROCEDURES |
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