750 Satisfied Patients? Stapled Haemorrhoidopexy (Longo Procedure) for the Treatment of Haemorrhoids and Anal Canal Prolapse: A Review of our 10-year Experience
Authors:
S. Černý; J. Král; Z. Šebesta
Authors‘ workplace:
Chirurgické oddělení Nemocnice Na Františku, Praha, primář MUDr. S. Černý.
Published in:
Rozhl. Chir., 2011, roč. 90, č. 7, s. 414-418.
Category:
Monothematic special - Original
Overview
Introduction:
Haemorrhoid disease in a common ailment, which constitues a serious clinical and social problems, especially in countries having a significant level of development. There have been a great number of articles published on the method of treatment for haemorrhoid disease and anal canal prolapse with circular stapler introduced to clinical practise by Longo in the year 1993. However, there are very few studies devoted to assessment of this procedure in the Czech medical literature.
Aim:
Summary our 10 year experience - to perform a retrospective evaluation of early and long- term results of surgical treatment with a Longo procedure.
Patients and methods:
We evaluated retrospectively 750 patients, submitted in our hospital to Longo procedure since January 2000 until December 2009, considering results and complications of this procedure. 435 (58%) were women and 315 (42%) men, aged from17 to 83 (46.2 years old on overall). Mean follow up was 5.5 months (ranged from 3 months to 3.5 years).
Results:
Complications occurred in 76 patients (10.1 %). In 24 patients (3.2 %) during the early post-operative period . Late complications developed in 52 patients (6.9 %). 34 patients (4.5 %) required reoperation. Duration of hospitalisation after the procedure ranged from 2 to 8 days, an overage of 3.2 days.
Conclusion:
Longo procedure in indicated cases – treatment of the 3rd and 4th stage of haemorrhoid disease and anal canal prolapse, is an advisable alternative to other surgical methods. Has satisfactory short and long-term effects, lower postoperative pains, shortening of the patient’s hospital stay. Longo’s method is safe and suitable for the haemorrhoid therapy, can be recommended in selective patients for a one-day surgery scheme.
Key words:
Longo procedure – haemorrhoid disease – anal canal prolapse
Sources
1. Longo, A. Treatment of haemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with a circular-suturing device: a new procedure. Proceedings of the Sixth World Congress of Endoscopic Surgery, Rome, Italy, 3–6 June, 1998: 777–784.
2. Pescatori, M., Favetta, U., Dedola, S., Orsini, S. Transanal stapled excision of rectal mucosa prolapse. Tech. Coloproctol., 1997; 1: 96–98.
3. Král, J. Longova metoda operace hemoroidů a prolapsu sliznice anorekta (PPH) –zkušenosti 8 let. Rozhl. Chir., 2007; 86: 678–679.
4. Chaloupka, F. Přínos Detralexu v léčbě hemorhoidální nemoci. Causa subita, 2007; 10: 176.
5. Pospíšil, I., Motyčka, V. Dlouhodobé výsledky Longovy operace hemoroidů a análních prolapsů. Rozhl. Chir., 2010; 89: 256–260.
6. Giordano, P., Gravante, G. Long-term outcomes of stapled hemorrhoidopexy vs. conventional hemorrhoidectomy. Arch. Surg., 2009; 144(3): 266–272.
7. Martinsons, A., Narbuts, Z., Brunenieks, I., et al. A comparison of quality of life and postoperative results from combined PPH and conventional hemorrhoidectomy in different case of hemorrhoidal disease. Colorectal Dis., 2007; 9(5): 423–429.
8. Jayaraman, S., Colquhoun, P. H., Malthaner, R. A. Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst. Rev., 2006; 4: Art. No.: CD005393.
9. Lomanto, D., Katara, A. N. Stapled hemorrhoidopexy for prolapsed hemorrhoids:short-and long term experience. Asian J. Surg., 2007; 30(1): 29–33.
10. Dell‘Abate, P., Del Rio, P., Soliani, P., et al. Longo hemorrhoidopexy vs. Milligan-Morgan hemorrhoidectomy: perspective analysis. G Chir., 2005; 26: 443–445.
11. Gravié, J. F., Lehur, P. A., Huten, N., et al. Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy:a prospective, randomized, multicenter trial with 2-year postoperative follow up. Ann. Surg., 2005; 242 (1): 29–35.
12. Beattie, G. C., Madam, T. K., Macintosh, S. A., et al. Day case stapled hermorrhoidopexy for prolapsing hermorrhoids. Colorectal Dis., 2006; 8: 56–61.
13. Lim, Y. K., Eu, K. W., Ho, K. S., et al. PPH03 stapled hemorrhoidopexy: our experience. Tech. Coloproctol., 2006; 10: 43–46.
14. Longen, J., Bock, J. U., Peleikis, H. G. Complications and reoperations in stapled anopexy:learning by doing.Int.J.Colorectal Dis.,2006;21:166-171.
15. Pessaux, P., Tuech, J. J., Laurent, B. Morbidity after stapled haemorrhoidectomy.long term results about 140 patients and review of the literature. Ann. Chir., 129, 2004, s. 571–577.
16. Nahas, S. C., Borba, M. R., Brochado, M. C., et al. Stapled hemorrhoidectomy for treatment of hemorrhoids. Arq. de Gastroenterol., 2003; 40: 35–39.
17. Amosi, D., Werbin, N., Kashtan, H., et al. Stapled hemorrhoidopexy – early experience in 30 patients. Harefuah, 2003; 142: 654–658.
18. Johnson, D. B., Di Siena, M. R., Fanelli, R. D. Circumferential mucosectomy with stapled proctopexy is safe,effective outpatient alternative fot the treatment of sypmtomatic prolapsing hemorrhoids in the elderly. Surg. Endosc., 2003; 17: 1990–1995.
19. Pigot, F., Dao-Quang, M., Juguet, F., et al. Low hemorrhoidopexy staple line does not improve results and increases risk for incontinence. Tech. Coloproctol., 2006; 10: 329–333.
20. Štukavec, J., Horák, L. Komplikace operace podle Longa – okluze rekta. Rozhl. Chir., 2006; 85: 517–519.
21. Pessaux, P., Lermite, E., Tuech, J. J., et al. Pelvic sepsis after stapled hemorrhoidectomy. J. Am. Coll. Surg., 2004; 199(5): 824–825.
22. Maw, A., Eu, K. W., Seow-Choen, F. Retroperitoneal sepsis complicating stapled hemorrhoidectomy:report of a case and review of the literature. Dis. Colon Rectum, 2002; 45(6): 116–117.
23. Pescatori, M. Stapled rectal prolapsectomy. Dis. Colon Rektum, 2000; 43(6): 876–878.
24. Angelone, G., Giardiello, C., Prota, C. Stapled hemorrhoidopexy. Complications and 2-year follow up. Chir. Ital., 2006; 58(6): 750–753.
25. Zbořil, P., Vysloužil, K., Klementa, I., et al. Ambulantní excize perianálních duplikatur. Rozhl. Chir., 2010; 89: 774–779.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2011 Issue 7
Most read in this issue
- Antibiotic Prophylaxis in Acute Surgical Procedures – The Current Praxis in Czech Republic
- Arthritis Sternoclavicularis as a Cause of Mediastinitis
- Surgical Management of Perforations during Colonoscopy
- 750 Satisfied Patients? Stapled Haemorrhoidopexy (Longo Procedure) for the Treatment of Haemorrhoids and Anal Canal Prolapse: A Review of our 10-year Experience