Abstract

BORDA MEDEROS, Luis Augusto; PINTO ELERA, Jesús Omar Andrés  and  MANZANEDA PINEDA, Ana Josefina. Procedure for hemorrhoids with mucosal prolapse: Longo’s tecnique. Preliminary report. Rev Med Hered [online]. 2009, vol.20, n.4, pp.190-194. ISSN 1018-130X.

The hemorrhoidectomy is an excellent technique for the treatment of grade III and IV hemorrhoids but it is invariably associated to postoperative pain. Mucosectomy with circular stapler- procedure for prolapse and hemorrhoids- (PPH) has shown lower figures for pain and faster recovery. We haven’t found published reports of this technique in our country. Objectives: Evaluate the efficacy and safety of the PPH technique in patients of grade III and IV hemorrhoids with mucosal prolapse. Material and methods: Retrospective study, case series type of patients operated on for Grade III - IV hemorrhoids with rectal mucosal prolapse were retrospectively analyzed, from December 1998 until December 2007 at Hospital de Emergencias Grau - EsSalud, Hospital G. Almenara I. - EsSalud and Clínica San Borja. Results: We studied 18 patients (13 men, 5 women). The average hospital stay was 1.2 days. The average operative time was 17.5 minutes. 94.4% of patients referred no pain or this was mild. One patient had significant postoperative bleeding at the stapled line that extended his hospitalization, one patient developed severe pain and another patient presented a rectovaginal fistula. Conclusion: PPH technique is effective in treating symptoms of grade III and IV hemorrhoids with mucosal prolapse at least in the short and medium term.(Rev Med Hered 2009;20:190-194).

Keywords : Hemorrhoids; colorectal surgery; autosuture; mucosal prolapse.

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