Longo surgery: The choice for patients with hemorrhoids

The article was written by Dr. CKII Phan Phi Tuan - Head of General Surgery Department, Vinmec Phu Quoc International General Hospital.

Hemorrhoids are excessive dilation of the hemorrhoidal plexuses in the anal area, causing inflammation or bleeding. Hemorrhoids often occur in people with increased abdominal pressure such as having to stand a lot, constipation due to bad eating habits (eating less fiber, vegetables, less water); pregnant women; With age, the muscles in the anal area are more susceptible to degeneration and spasm, especially in people between the ages of 30 and 60 due to genetics.

Hemorrhoids take place in 4 levels, causing many dangerous complications:
Level 1: Blood in the stool, hemorrhoids have not prolapsed. Grade 2: Hemorrhoids prolapse during defecation but still shrink on their own. Grade 3: Hemorrhoids prolapse too much, must be pushed in by hand. Grade 4: Permanent hemorrhoids in the anus, easy to get infected. Signs of hemorrhoids include:
Blood in the stool: Blood appears after defecation, drops or streaks, sticks on a washcloth or on stools, the degree of bleeding depends on the severity of the disease and not this symptom is always present.
Burning pain, anal discomfort: People with hemorrhoids often have pain, burning, tightness or pain in the anus. When hemorrhoids turn to grade 2, anal discharge, itching, discomfort.
Prolapse hemorrhoids : Hemorrhoids form, swell and prolapse out of the anus gradually according to the level of hemorrhoids. Hemorrhoids may automatically retract (grade 1, 2 disease), or have to be pushed up by hand (grade 3 disease), or cannot be pushed into the anal canal (grade 4 hemorrhoids). Grade 1 and 2 prolapsed hemorrhoids are less troublesome, from grade 3 onwards make patients feel uncomfortable when walking and doing heavy work, while grade 4 prolapsed hemorrhoids make patients extremely inconvenient in activities. daily action.

Longo surgery was reported by Italian surgeon Antonio Longo in August 1998. The basic content is cutting a mucosal ring, under the rectal mucosa, on the dentate line to pull the hemorrhoids and prolapsed rectal mucosa back to the original position and remove the blood source from the submucosa to the tufts. hemorrhoids. Longo surgery is applied in most of the surgical centers in developed countries and the Vinmec medical system.
Subjects of application: Patients with internal hemorrhoids grade 2, 3, 4, especially ring hemorrhoids, are suitable for this treatment.
Advantages of longo surgery: Less pain: When performing classical hemorrhoidectomy, patients will have pain after surgery for a long time, possibly up to a month, greatly affecting quality of life, recovery time and work. . With Longo hemorrhoidectomy, patients only need to use oral pain relievers, feeling only mild discomfort in the anal area. About 85% of patients are able to walk and serve themselves on the day of surgery.
Fast discharge time: Due to less postoperative pain and less late complications, patients can return to normal activities as soon as possible and can be discharged from the hospital only 1 day after surgery.
The recurrence rate after surgery is very low: Longo hemorrhoidectomy has cut off the blood supply to the hemorrhoids and repaired the anal canal structure to almost normal. Therefore, recurrence is rare.
Currently, Vinmec Phu Quoc International General Hospital has implemented the Longo hemorrhoid surgery method and has brought practical results because of the advantages of this method for patients. With the dedication, experience, professional working style of the doctor and modern machinery, Vinmec Phu Quoc will be the place that can help you put an end to the worries and discomforts caused by hemorrhoids.