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The aim of this procedure is to decrease vascularisation of the anal canal and to carry out a pexis to put back in place the mucuous membrane and internal hemorrhoid clusters. With the arrival of this procedure and in the years following its appearance in France in 1999, I carried out about 50 Longo procedures out of every 100 hemorrhooidectomies, however currently due to a number of postoperative complications, the longo procedure only accounts for 10 % of all hemorrhoidectomies.

I) Advantages :

  • No open incisions,
  • Less pain,
  • No topical care in the absence of complications,

II) Disadvantages :

  • This procedure often requires a considerable learning curve,
  • The major shortcoming is that the external hemorrhoids are left in place,
  • The major problem is to let external hemorrhoids leading to the recidive of the hemorroidal prolpasus in 17% of the levels 3 and 50% of the levels 4,
  • Reappearance of the bleedings (14N and of a tenesme in 32% of the cases,
  • Does not treat anal fissures if present,
  • Numerous other complications have been thoroughly described in a research article written by Professor Jean-Luc FAUCHERON (CHU Grenoble).