Hemorrhoids treatment using co2 laser (10600nm)

Background: Hemorrhoids is a common surgical condition that affects 10% of population at some time in their life, different modalities of treatment have been used throughout years, one of the methods is using co2 laser. laser is an effective, simple and harmless clinical procedure used for the treatment of hemorrhoids, as an alternative to medical therapy or other surgical therapy. Objective: This study was undertaken to evaluate efficacy and safety of hemorrhoidectomy using CO2 laser. Patients and methods: This study was done in the laser medicine research clinic / institute of laser for postgraduate studies and Al-Banook private hospital from early July 2O15 to the end of November 2015, twenty five patients were enrolled in this study,20 Male and 5 Female, their ages ranged from 18 - 60 years old with a mean of 38.25 years old. 15 patients (60%) had 4th degree hemorrhoid while 10 patients (4O%) had third degree hemorrhoid. The Laser parameters used were CO2 laser wavelength 10600nm, continuous wave, Power 5-10 watt, spot size of the hand piece was 0.4mm. Laser hernorrhoidectomy was performed under local, spinal, general anesthesia. Results: All patients had a single session, the operative time ranged from 15 – 20 minutes; the mean 17 minute. 15 patients(60%)were completely satisfied 5 patients (20%) were greatly but not fully satisfied.3 patients (12% ) were partially satisfied,2 patients (8%) was not satisfied,4 patients (16%) had no pain, 18 patients (72%) had mild pain,3 patients (12%) had severe pain 21 patients (84%) had no bleeding, (12%) 3 patients had early simple bleeding, (4%) one patients had bleeding after two weeks. 2 patients (8%) developed simple wound infection, 23 patients (92%) had no infection. 4% one patient suffered from urine retention catheter put. 3 patients (12%) developed mild anal stenosis. Only one patients (4 %) had recurrence All of the patients were discharged after 3-5 hour and none required hospital stay and they returned to work after one week. Conclusion: Co2 laser hemorrhoidectomy is effective and safe procedure, an uneventful postoperative course, no hospitalization and quicker return to work.