Surgical treatment of perianal fistulas has been described since the ancient times in the works of Hippocrates (400 BC). Perianal fistula is a pathological communication of the lower colon with the skin. It is a common result of chronic inflammation of the area around the anus (perianal abscess). A perianal fistula is very dificult to heal and tends to easily recur. Particular attention should be paid to patients with Crohn's disease who present with fistulas, because they comprise a very special group of patients.
During Surgical Removal of Peripheral Fistula, surgeon SC Hirides will initially determine the course of the fistula both preoperatively (MRI may be needed) and intraoperatively using special instruments. When the outer (skin) and inner (intestinal lumen) orifices are identified, surgeon begins to excise the fistula in a circular fashion, around it (complete fistula removal). If the fistula is superficial, the wound is left open to heal after a short period of wound changes at the doctor's office. If it is deeper and involves the sphincter muscles, then a special elastic loop is used, which applies gradual pressure to the fistula and leads to a slow healing without affecting the anatomy of muscles (Seton method). The new FiLaC technique allows the coagulation of the inside of the fistula with laser optical fiber and dramatically accelerates healing. In any case, the key to healing peripheral fistulas is to close the inner orifice.
The new SILaC technique allows, through a microscopic incision, the photocoagulation of the inside of the fistula with LASER fiber optics and dramatically accelerates healing. Our patients state that they are excited about the result that allows them to leave the hospital even on the day of the operation and return to work within 3-4 days, without the need for painful and long-term wound changes.
During his specialty at the 2nd Surgery Clinic at the General State Hospital of Athens, Dr. Chiridis gained extensive experience in the whole range of anal diseases , mainly next to the forerunner of hemorrhoidectomy-with-guidance-ultrasound in Greece, Dr. Paris Theodosiou with which he applied all the hitherto known techniques for the treatment of hemorrhoids (HAL hemorrhoidectomy, Laser hemorrhoidectomy, Ligasure, Rubber band, Longo stapled hemorhoidopexy etc.). In the same clinic he was trained in the open, closed and semi-closed technique of coccygeal resection and rehabilitation .
He then completed with a scholarship the Postgraduate Program in Minimally Traumatic Surgery of the Medical School of the National & Kapodistrian University of Athens for the title "Master of Science" (MSc) and received the title of Doctor of the University of Athens (PhD) for his research in Postgraduate Research.
From January 2007 to August 2017, Dr..S.Khiridis worked at the Clinic of General, Laparoscopic and Robotic Surgery of the Athens Medical Center (Director: KM Konstantinidis), and actively participated in the first Greek Robo Program. Surgery with a total experience of more than 3500 surgeries. At the same time , he specialized in Hernia Robotics, Upper and Lower Digestive and Robotic Manual of Obesity - Metabolic Diseases.
As a doctor of the General, Laparoscopic and Robotic Surgery team of the Medical Center , he was trained for 11 years in the development of hemorrhoidectomy-hemorrhoidectomy HAL / RAR, THD and AngioDyn as well as in the use of ultrasound scissors and newer methods L laser, etc. . There he also learned the techniques of repairing circumferential fistulas using Laser (FiLaC) and treatment of circumferential abscesses, circumferential fistulas and coccygeal cyst. In this clinic he was also trained in Karydakis techniques and its variants for repairing large deficits in the area of the coccyx, after resection of large fistulas.
In September 2011 he successfully completed the post-training seminar with practical training ( Hands-On Course) Transanal Endoscopic Microsurgery using EndoRec System in Nice, France. There, the doctor was trained in a pioneering endoscopic, percutaneous rectal access technique.
Since the end of 2016, the great change brought by the diode laser in surgical proctology has turned Dr. Chiridis's team to widespread use of the Laser in warts, coccygeal cysts, anal fistulas and hemorrhoids.
In February 2021, the doctor successfully completed the Postgraduate Laser Proctology Seminar (FILAC and LHP) of Dr. Deska and Dr. Wolicki (Marien Hospital, Witten, Germany)
Dr. Heiridis has published numerous articles in Greek and foreign journals, has participated in the writing of many medical books and participates as a guest speaker at international surgery conferences in Europe (Stockholm, Seville, Prague, Geneva, Turin, Brussels, Brussels, , Sofia, Bucharest, Amsterdam) of America (Quebec, Chicago, Boston, San Diego, San Francisco) and Asia (Beijing).
He is a member of the Hellenic Society of Surgeons, the European Society of Laparoscopic Surgery (EAES), the International Society of Robotic Surgery (SRS), and the American College of Surgeons (FACS title) .
Today he performs surgeries from the whole range of General Surgery (abdominal wall hernia surgery, septal hernia and reflux, stomach, gallbladder, small & large intestine, rectal and anal diseases and morbid obesity in Greece) in Cyprus. His patients are completely satisfied with both the choice of robotics and the choice of robotic surgeon Dr. Savvas K. Heiridis.