HEMORRHOIDECTOMY USING THE LONGO METHOD

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HEMORRHOID SURGERY USING THE LONGO METHOD: LESS PAIN, FASTER RECOVERY, AND PREVENTION OF RECURRENCE

This article is prepared with professional consultation from Dr. Doan Tuan Son, Specialist Level II, Deputy Director of Thai Nguyen International Hospital.

Hemorrhoids are a benign condition that can cause significant discomfort and inconvenience in daily life. Many patients are reluctant to seek medical attention because the condition affects a sensitive area. As a result, most people with hemorrhoids only visit the hospital when the disease has reached an advanced stage. At that point, surgery becomes the only treatment option, and the Longo method is considered one of the most effective procedures for completely treating hemorrhoids.

How Is Hemorrhoid Removal Using the Longo Procedure Performed?

The doctor uses a specialized circular stapling device designed to remove and suture a ring of rectal mucosa and blood vessels located above the hemorrhoids. This lifts the hemorrhoidal cushions back into their normal position and simultaneously cuts off their blood supply. As a result, the hemorrhoids gradually shrink, leading to complete recovery.

With this technique, all surgical manipulation is performed in an area without pain receptors. Therefore, the patient experiences little to no pain and requires only a short hospital stay. Some patients may even be discharged on the same day and can return to normal activities within 1–5 days. Additionally, the Longo procedure has a very low recurrence rate.

When Is the Longo Procedure Indicated?

• Indicated for internal hemorrhoids Grade II to IV, especially circumferential (ring-shaped) hemorrhoids.
• Applicable for most patients, including those with high blood pressure, diabetes, or infections.

The Longo Procedure Consists of 7 Main Steps:

1. After spinal anesthesia, the doctor manually repositions the prolapsed hemorrhoids back into the anal canal.
2. Insert an anal dilator and examine the hemorrhoids, rectal mucosa, and any associated conditions.
3. Place a purse-string suture on the mucosa 2–3 cm above the dentate line.
4. Position the stapler at the suture line, tie the purse-string, and—if the patient is female—check the posterior vaginal wall before firing to prevent rectovaginal fistula. Remove the safety lock and fire the stapler.
5. Maintain stapler compression for 30 seconds to 1 minute, then remove the device and inspect the excised ring of tissue.
6. Control any bleeding along the staple line using absorbable sutures.
7. Manage associated lesions if present, such as removing skin tags or anal papillae.

Advantages of the Longo Procedure at Thai Nguyen International Hospital:

• Safe and effective surgery using modern, sterile operating rooms and synchronized equipment, performed by highly experienced surgeons.
• Short procedure time and early discharge: Only 15–30 minutes; hospitalization 1–2 days. Some patients can go home within hours after surgery.
• Minimal postoperative pain thanks to the surgical site being located above the dentate line.
• Aesthetic outcome: No open wounds, easy postoperative care, quick return to daily life, no scarring, and no risk of anal stenosis caused by fibrosis.
• Freedom to choose surgeons and surgery schedule: The hospital collaborates with leading specialists from central hospitals, allowing patients to select their preferred surgeon with reasonable costs.
• Reasonable cost with insurance coverage, including health insurance and corporate guarantees.
• Comprehensive postoperative care: Comfortable inpatient rooms with 24/7 nursing support.
• Confidentiality assured for all patient information.
• Professional customer service with full support during the entire examination process.
• Simple, fast, transparent payment procedures.
• Convenient access to information and appointment booking:

Hotline: 1900 8035

Fanpage: Thai Nguyen International Hospital

Website: congtycophanbenhvienquoctethainguyen.com