CO2 Laser Haemorrhoidectomy for Treatment of Grade IV Haemorrhoids

Abstract

Background: symptomatic haemorrhoids are a common problem. While many treatment options are
available, none have shown clear superior results. Pain, recurrence rates and potential complications
are the main considerations when choosing the optimal treatment for haemorrhoids. Methods: We
evaluated post operative pain using a visual analogue at one and four weeks post operatively in patients
undergoing Milligan-Morgan haemorrhoidectomy using CO2 laser. We also recorded any unplanned
re-presentations and complications during a 24 months study period. Results: There were 77 patient
who underwent CO2 laser haemorrhoidectomy during the study period. Post operative pain was low
(mode=1, mean=3) in the majority of patients. Those who developed a complication had higher post
operative pain scores at one week compared to those who did not. All patients were pain free at four
week follow up. Conclusion: Overall we found CO2 haemorrhoidectomy to be a safe procedure which
is well tolerated in the vast majority of patients.