ĐÁNH GIÁ KẾT QUẢ GẦN CỦA PHẪU THUẬT LONGO TRONG ĐIỀU TRỊ BỆNH TRĨ TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ VÀ BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Stapled hemorrhoidectomy is a surgical procedure used worldwide for the treatment of hemorrhoids in all age groups. Stapled hemorrhoidopexy has a few advantages such as less postoperative pain and faster recovery compared with conventional hemorrhoidectomy. Objectives: Evaluated the short-term outcomes of using Longo procedure in the treatment of hemorrhoids at Can Tho University of Medicine and Pharmacy Hospital and Can Tho Central General Hospital. Materials and Methods: A prospective study of 55 patients underwent Longo procedure from May 2021 to May 2022. They were evaluated on the basis of the following main parameters: postoperative pain, bleeding, operating time, days of hospitalization, time taken to return to work. Results: The male/female ratio was 2.06 (37 males, 18 females). The average age was 44.9 ± 14.7 years old. Mean duration of illness was 4.65 ± 2.8 years old. Majority of patients suffered from 3th degree hemorrhoids (98.2%). Long sitting was the most relevant factor (69.1%). The operating time was 27.3 ± 6.4 minutes. The mean duration of hospital stay was 1.7 ± 0.91 days and returned to work was 6.3 ± 2.7 days. 61.8% of patients had only mild pain. All patients had no postoperative hematochezia. 23.7% of patients had urinary retention. One patient had the complication of anorectal stricture. 100% of patients had normal anal continence. The level of satisfaction was high in 98.2% of patients. Conclusions: The Longo´s technique for the treatment of hemorrhoids has the potential for less postoperative pain, enhanced patients’ comfort, a short operating time, safety and an early return to full activity.