Advantages of Longo hemorrhoid surgery at Vinmec: Pain relief, prevention of recurrence, early discharge from hospital

This is an automatically translated article.

The article is expertly consulted by MSc Duong Xuan Loc - Gastroenterologist - General Surgery Department - Vinmec Danang International General Hospital.
Treatment of hemorrhoids by surgery has a long history, is the most radical treatment method, so far, although there are many technical improvements. In which, the Longo method is a popular modern technique that brings high efficiency to hemorrhoid patients due to its outstanding advantages such as: pain relief, recurrence prevention, early discharge from hospital.

1. What is Longo hemorrhoidectomy?

Longo hemorrhoidectomy was born in 1993, authored by Antonio Longo, an Italian surgeon. Longo hemorrhoidectomy uses a cutting machine and stitches at the same time. Surgery is based on the principle of pulling the hemorrhoid back to its normal position, cutting and suturing the blood supply to make the hemorrhoid shrink. The cuts and sutures are located on the less sensitive area of ​​the anal canal, which helps patients to significantly reduce pain after surgery, recover quickly, and defecate after surgery.

2. Advantages of Longo hemorrhoid surgery at Vinmec

Less pain: With previous treatments, the patient was in a lot of pain, requiring injections of pain relievers. Patients will have to endure pain for about 4-5 weeks, walking difficult. Cleaning must be done twice a day to avoid infection of the surgical site. However, cutting hemorrhoids according to the Longo method, patients only need to use oral pain relievers, only feeling slight discomfort in the anal area. About 85% of patients are able to walk normally, serving themselves during the day. Quick discharge time: After surgery, the patient can return to normal activities as soon as possible. Longo hemorrhoidectomy method has a postoperative bleeding rate of about 1% that needs to be monitored. Therefore, after surgery, about 6 hours is the time to monitor bleeding problems, 10-24 hours to monitor anesthesia problems, anesthesia release, and anesthesia, the patient can be discharged. So the average hospital stay of Longo hemorrhoid surgery is 10-24 hours after surgery. The recurrence rate after surgery is very low because Longo hemorrhoidectomy has cut off the blood supply to the hemorrhoids and repaired the anal canal structure to almost normal. Therefore, recurrence is rare. As a safe method of hemorrhoidectomy, applicable to the elderly, much less pain than the classic hemorrhoidectomy method. The surgery time is only 20-30 minutes, less complications, less pain after surgery, recovery. early, good postoperative care and no recurrence rate was recorded. Shorten the hospital stay and ensure aesthetics, without complications of anal stenosis due to scarring and fibrosis. It is evaluated to have many advantages such as safety, effectiveness, and easy technique to implement. In particular, the cuts and sutures are located on less sensitive areas of the anal-rectal area, so patients have less pain after surgery and quickly return to normal activities.
Therefore, Longo surgery is applied in most of the surgical centers in countries with developed economies and becomes an extremely suitable method for hemorrhoid surgery.

3. Indications and contraindications of the Longo method

3.1 Indications This method is indicated for grade III internal hemorrhoids, ring hemorrhoids, can be applied to both grade II or III hemorrhoids and grade I-II rectal mucosal prolapse For cases of grade II internal hemorrhoids unresponsive internal or surgical treatment 3.2 Contraindications Patients with para-anal abscess, anal stenosis, total rectal prolapse, rectal ulceration Patients with: Coagulation disorders, taking anticoagulants, hemorrhoids symptoms due to portal hypertension, Crohn's disease Patients with unstable medical or cardiovascular disease Patients with severe comorbidities unable to tolerate surgery

4. What should patients pay attention to after hemorrhoid surgery with Longo?

The surgery will not be effective if the patient does not know how to take care of the health as well as the anal area. Specifically, after the surgery, it is necessary to note a few things as follows:
Gentle exercise, avoid vigorous exercise, carry too heavy weight, making the hemorrhoid no chance to recover. Proper anal hygiene, regularly avoid infection and inflammation in the area of ​​hemorrhoids being operated. Diet needs to supplement vitamins and nutrients necessary for the body. Patients should increase their intake of green vegetables as well as fresh fruits. Besides, you should limit eating spicy, hot, greasy foods, alcohol and stimulants... making it difficult to recover from the disease. Change the lifestyle Keep the spirit really comfortable, don't be too stressed and tired, making the symptoms worse and worse. Limit sitting for long periods of time, which can increase pressure on the anus. Get into the habit of going to the toilet at a fixed time of the day, do not hold back from going to the toilet. At the same time, pay attention not to watch the phone, watch movies, watch newspapers... during the process of going to the toilet. Change your diet

Increase drinking water to enhance metabolism, help soften stools to limit constipation. Thanks to that, hemorrhoids are also repelled.
Add green vegetables and fresh fruits in daily meals. In addition, you should also limit the use of hot spicy foods, alcohol and stimulants that can affect the treatment process. Divide meals into small meals, eat foods that are easy to digest... to support the functioning of the digestive system. The Longo method is applied in many hospitals and is effective for hemorrhoid patients, including Vinmec hospital. Vinmec Hospital has a team of experienced doctors and doctors with modern equipment, patients can rest assured that hemorrhoid surgery by this method is painless, less recurrent and recovers soon.
Currently, at Vinmec Da Nang International Hospital, it has successfully applied hemorrhoid treatment methods for different types of hemorrhoids with different grades, especially longo surgery method to treat hemorrhoids. Ring hemorrhoids are difficult to handle. Treatment of hemorrhoids with the Longo method is indicated in the case of hemorrhoids grade 2-3, suitable for people with ring hemorrhoids with outstanding advantages:
Much less pain than the classic hemorrhoidectomy due to the surgical area The surgery is located on the dentate line of the anal canal, where there are few sensory nerves. No open wound in the anus, easy post-operative care. Shorten the hospital stay (average 1-2 days) and ensure aesthetics, without complications of anal stenosis due to scarring and fibrosis. At Vinmec Da Nang International Hospital, the new generation EEA machine of Medronic - Covidien (USA) with DST technology is used to help stop bleeding, ensure a solid cut with a large capacity for the patient. radical resection of mucosa with internal hemorrhoids.
Master. Doctor Duong Xuan Loc has more than 12 years of experience as a Gastroenterologist and is currently a Gastroenterologist at the Department of General Surgery - Vinmec Danang International General Hospital.
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