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).
