Dr Rick Cirolli

Colorectal, Laparoscopic, General Surgeon

30+ years in general and emergency surgery, including trauma.

Haemorrhoids, pilonidal sinus and anal fistula now have a laser option
Laser surgery is a day-stay alternative to conventional surgery performed under light sedation and local anaesthetic. General anaesthetic is not required.

• Haemorrhoids, all grades, including grade 4 with mucopexy
• Pilonidal sinus: smaller wounds, usually no daily dressings
• Anal fistula: all suitable for laser ablation, some complex case may require more than one treatment.

Over 190 LHPs since 2020, 80 of them Grade IV with Mucopexy
A day-stay laser option for your patients with persistent haemorrhoids.
Laser haemorrhoidoplasty (LHP) treats all haemorrhoids as a day stay at Remuera Surgical Care, under light sedation and local anaesthetic. Laser energy reaches about 1.4 mm, so the anoderm isnt breached. Studies report first-day pain of around 2/10 (Barbu et al., 2025). Recurrence is no different from Milligan-Morgan (Lie et al., 2022). We also offer ligasure and open haemorrhoidedomy

Services offered:

• Colonoscopy
• Gastroscopy
• Skin Cancer Surgery
• Laparoscopic Hernia Repair
• Laparoscopic Cholecystectomy
• Laser Varicose Veins

Benefits of Laser Surgery:

• Faster recovery time than traditional surgery
• No general anaesthesia needed
• Safe, minimal discomfort post operation
• No stitches and no scars

Qualifications/Memberships
RickCirolli. MD, FACP
Specialist in General & Emergency Surgery, Endoscopist, Phlebologist
Affiliated Fellow of the Australasian College of Phlebology