Background: “Circumferential prolapsed piles" poses great challenge for colorectal surgeons. “Infrared
photocoagulation" (IFC) is a safe procedure for early stages of piles but is not readily available due to high costs.
We introduce a simple simulation of (IFC) for management of residual daughter piles after surgical excision of the
main piles.
Patients and methods: 10 patients with circumferential grade III-IV piles were recruited for “indirect cauterization"
of residual daughter piles after open excision of the main piles and were observed for one month for postoperative
complications. The results were compared to those of the last 10 correlated patients in the database managed by
simple excision of the main piles only.
Results: Three cases of SSI (Surgical Site Infection) with minimal, temporary spotting after removal of dressing
were found in the study group. No case of incontinence was recorded.
Conclusion: The “indirect cauterization" technique is feasible with satisfactory outcome for cases of circumferential
piles in low resource areas.