Rectal perforation after laser hemorrhoidoplasty: a case report

Area of Science:

• Gastroenterology and Surgical Innovation
• Minimally Invasive Procedures
• Patient Safety in Surgery

Background:

• Laser hemorrhoidoplasty is a popular, minimally invasive treatment for hemorrhoids.
• Complications are rare, but potential risks include thermal and mechanical tissue injury.
• Prompt recognition and management of severe complications are crucial.

Observation:

• A 31-year-old female developed acute abdomen, sepsis, and multiorgan failure post-laser hemorrhoidoplasty.
• Laparoscopic exploration revealed rectal perforation, necessitating a double-loop colostomy.
• The patient experienced a complex recovery with relapsed pelvic sepsis.

Findings:

• This case represents the first reported major complication following laser hemorrhoidoplasty.
• The complication was likely due to collateral thermic and mechanical tissue damage during the procedure.
• Effective management involved urgent surgical intervention and colostomy creation.

Implications:

• Highlights the importance of vigilance for rare but severe complications after laser hemorrhoidoplasty.
• Underscores the need for careful patient selection and technique optimization.
• Informs surgical practice regarding the potential risks and management of rectal injury during hemorrhoid treatment.