The modification to Longo technique is a small effort by author to overcome this clinical drawback. Although the recurrence rate and cost remained major drawbacks of the technique. The literature published before have reported it as patient friendly, minimally invasive and superior as compared to conventional hemorrhoidectomy. Antonio Longo is globally accepted and widely used even in India. 4–8 Subsequently published various randomized controlled clinical studies and systematic reviews have again compared the SH with conventional hemorrhoidectomy to evaluate the short term and long term safety and effectiveness of the procedure. The early clinical experience showed better clinical outcome with SH compared to conventional hemorrhoidectomy. 3 SH is also known as procedure for prolapsed hemorrhoids (PPH). The conventional surgical techniques such as Milligan-Morgan’s open hemorrhoidectomy and Ferguson’s closed hemorrhoidectomy were preferred choice for the surgery in these patients and were considered to be “gold standard” till the evolvement of stapled hemorrhoidopexy (SH), using a transonic circular stapling instrument, introduced by Dr. A surgical option would be considered in patients with grade III & grade IV hemorrhoids and concomitant anorectal pathology. The treatment options for hemorrhoids are conservative (medical), nonsurgical (office based) and surgical treatments. Most of the patients who turned up late to the hospitals, presented with advanced disease (Grade III or IV). 1 However no epidemiological data is available for India, but considered to be higher in Indian population. It has prevalence rate of 4.4% in the United States. Hemorrhoids are one of the commonly reported anorectal disorders and a worldwide problem. Keywords: stapled hemorrhiodopexy, hemorrhoids, circular stapler, recurrence, stricture, stenos, per rectal bleeding Introduction The recurrence rate at 1year was 0.23%.Ĭonclusion: Modified Longo Technique of Stapled hemorrhoidopexy is associated with low complications rate, minimal post-operative pain and negligible recurrence rate. There was significant improvement in overall perception of World Health Organization-Quality of life and social, physical, psychological domains after surgery. All patients returned to normal work / activities in an average of 5days. The immediate complications (all mild) included urinary retention (5.69%, n=178), difficult defecation (11.69%, n=366), anal fissure (3.83% (n=120), post-operative bleeding 1.05%, (n=33), and anal stenosis 0.93 %( n=29). Patient’s satisfaction on Da圓, 57.82% (n=1810) patient were very satisfied, 33.04% (n= 1034) were moderately satisfied and 9.14 % (n=286) were not satisfied with the treatment. Post-operatively mild pain was reported by 57.53% (n=1801) patients, by 19.14% (n=599) on day15, 4.89% (n=153) at 3Months and no patient had pain at the end of 1year. Results: The mean surgery time and hospitalization duration were 20minutes and 18hours respectively. The data evaluated for pre-operative and post-operative symptoms improvements, resumption to normal activity, treatment satisfaction and recurrence rate and quality of life. The minimum follow up period was 1years and maximum 7years. Telephonic follow up was done in patients who were not available. Follow up was done after 15days, 1month, 3months&12months. Patients diagnosed with grade III and grade IV were operated with modified Longo technique Stapled Hemorrhoidopexy. Methods: All the patients with complaints of hemorrhoids visited Healing Hands Clinic, Pune during study period were evaluated. The current study reveals the long term effectiveness of modified Longo technique in 3130 patients treated at a single center. Introduction: Stapled Hemorrhoidopexy (SH) is relatively less painful surgery and treatment of choice for grade III and IV internal hemorrhoids.
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