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Dr. Rick Shacket is a distinguished, board-certified specialist, holding certifications from both the American Osteopathic Board of Proctology and the American Board of Laser Surgery. With nearly four decades of expertise in laser surgery and more than 10,000 patients successfully treated, Dr. Shacket stands as one of the most experienced and highly qualified laser surgeons in the field of anal-rectal surgery. His unparalleled skill and dedication make him the leading authority in Arizona—and among the foremost practitioners in the entire United States.

Skilled surgeons use laser light with pinpoint accuracy. The unwanted hemorrhoid is vaporized or excised. The infinitely small laser beam allows for unequaled precision and accuracy, and usually rapid, unimpeded healing. The result is less discomfort, less medication, and faster healing. A hospital stay is generally not required. The laser is inherently therapeutic, sealing off nerves and tiny blood vessels with an invisible light. By sealing superficial nerve endings, patients experience less postoperative discomfort. By closing tiny blood vessels, your proctologist can operate in a controlled, bloodless environment. Procedures can often be completed more quickly and with less difficulty for both patient and physician.
A laser beam can simultaneously vaporize larger hemorrhoids and photocoagulate smaller hemorrhoids, reducing the need for a more extensive or complex surgery. A laser can be used alone or in combination with other modalities.
Animation of laser surgery (with comparison of hemorrhoid grades 1 to 4 on a live patient) [2:00].

INTERNAL HEMORRHOIDS
Laser photocoagulation is a painless medical procedure used to treat internal hemorrhoids. It uses a laser to create microscopic burns to seal off abnormal blood vessels or tissue. Skilled surgeons can use the carbon dioxide (CO2) laser's invisible infrared light to induce heat-driven coagulation at a specific spot in tissue painlessly. By spot-welding internal hemorrhoidal tissue into place, laser-like welded hyper-attachments can prevent hemorrhoids from sagging downward and protruding outside the rectum.
EXTERNAL HEMORRHOIDS
External hemorrhoids can be cosmetically reshaped with laser vaporization for a more pleasant look and feel, and to make the bottom hygiene easier. When a laser is used on external hemorrhoids, there is some postoperative pain, less bleeding, and a faster recovery.

Glide into post-surgical recovery. The first days after surgery are often the toughest, with pain and discomfort at their peak. That’s where Exparel® helps. It's a one-time, non-opioid injection given by your doctor during surgery. Helps block pain right at the surgical site, providing relief where it’s needed most. It can provide long-lasting relief and keep pain under control for up to 4 of the toughest days post-surgery. Help you focus on healing, with less need for other medications, such as opioids.