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CC BY 4.0 · Journal of Coloproctology 2025; 45(01): s00451804900
DOI: 10.1055/s-0045-1804900
Original Article

Assessment of Level of Satisfaction, Pain, and Postoperative Healing in Patients Undergoing Outpatient Clinic CO2 Laser Anal Skin Tag Resection with Topical and Injectable Local Anesthesia

Aline Celeghini Rosa Vicente da Frota
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Karla de Oliveira Araújo
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Patricia Deffune Celeghini 
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Gustavo Figueiredo Lima
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Daniella Pereira de la Cruz
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
,
Tercio de Campos
1   Department of Surgery, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
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Abstract

The use of CO2 lasers in surgical procedures is well-established in medicine; however, data are still scarce in coloproctology, especially regarding anal skin tags.

Objectives

To assess the degree of satisfaction, pain, and postoperative healing in patients undergoing outpatient clinic CO2 laser anal skin tag resection with topical and injectable local anesthesia and its complications.

Methods

Prospective collection of data on patients with anal skin tags operated at a private clinic in São Paulo with topical and injectable local anesthesia and use of CO2 laser. The need for intraoperative stitches, opioids, and corticosteroids was assessed, as well as patient satisfaction and level of pain based on the analogue pain scale.

Results

39 patients were evaluated, of whom 36 (92.3%) were women. The main complaint was aesthetics (51.2%).

The average healing time was 3.7 + 1.8 weeks, and the average pain was 2.4 + 2.7. Six patients required stitches due to bleeding, and the presence of stitches did not increase the healing time or the need for opioids.

One patient presented with bleeding in the 1st postoperative period and needed reintervention in a surgical facility, 2 presented with fissures, and 12 with residual skin tags. Thirty-eight patients were satisfied.

Conclusions

Anal skin tag resection with topical and injectable local anesthesia and CO2 laser is an effective and safe procedure at an outpatient level. Its advantages are low levels of postoperative pain, rapid healing, and low rates of serious complications with a high degree of patient satisfaction.

Keywords

CO2 Lasers - laser surgery - colorectal surgery - anus diseases - anal fissure - hemorrhoidal disease

Authors' Contributions

Substantial contributions to the conception or design of the work, data collection, analysis, interpretation, writing of the articles, and final version to be published. All authors agree and take responsibility for the content of this version of the manuscript to be published.


Approval by the Ethics Committee

CAAE (Ethical Appraisal Submission Certificate): 74822623.0.0000.5492




Publication History

Received: 13 June 2024

Accepted: 25 November 2024

Article published online:
12 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Aline Celeghini Rosa Vicente da Frota, Karla de Oliveira Araújo, Patricia Deffune Celeghini, Gustavo Figueiredo Lima, Daniella Pereira de la Cruz, Tercio de Campos. Assessment of Level of Satisfaction, Pain, and Postoperative Healing in Patients Undergoing Outpatient Clinic CO2 Laser Anal Skin Tag Resection with Topical and Injectable Local Anesthesia. Journal of Coloproctology 2025; 45: s00451804900.
DOI: 10.1055/s-0045-1804900