Le traitement de la maladie hémorroïdaire par la technique de Longo. Résultats préliminaires d'une étude prospective portant sur 94 cas

Abstract

Surgical treatment of hemorrhoids disease using Longo's procedure. Preliminary results of a prospective study (94 cases). Aim of study: The aim of this multicenter prospective study was to report the early results of Longo procedure for the surgical treatment of hemorrhoids disease. Patients and method: From April 1998 to July 1998, 94 patients (60 men and 34 women with a mean age of 47 years) were treated according to Longo procedure for a mucosal prolapse (12 grade II, 63 grade III, and 19 grade IV). All patients were evaluated at 2 and 6 postoperative months. The technique consisted in the reduction of mucosal and hemorrhoidal prolapses with a circular suturing device. Results: Postoperative morbidity rate was 6.3% (n=6). A rectal bleeding occurred within 12 hours after surgery in five patients.The mean postoperative length of hospital stay was 36 hours (range: 24–72 hours). The only antalgic prescribed was paracetamol. Local care was not necessary in any patient. After 6 months, 89 patients (94.7%) were very satisfied, three patients (3.2%) were satisfied (rectal sub-mucosal abscess in one case, functional troubles in two cases) and two patients (2.1%) were not satisfied (persistence of mucosal prolapse). Conclusion: These preliminary results are satisfactory but need to be confirmed by a prospective randomized trial, comparing Milligan Morgan procedure and Longo procedure.