 Randomized clinical trial of Longo’s technique versus Ferguson’s haemorrhoidectomy; follow-up three years

Abstract

Objective: The introduction of a Longo´s technique for
the treatment of haemorrhoids has the potential for less
postoperative pain, a short operating time and an early
return to full activity. The outcome of Longo´s
technique was compared with that of current standard
surgery in a randomized controlled study, and followed
up three years.
Method: Forty patients were randomized to either
Ferguson technique (n = 20) or Longo’s techniques (n
= 20).
Each patient received standardized postoperative
analgesic and laxative regimens, and completed a
linear analogue pain score every 6 h during the first
day after operation, after the first motion and daily until
the end of the second week. Operating time, frequency
of postoperative analgesic intake, hospital stay, time
to return to normal activity and postoperative
complications were also recorded.
Results: The mean ages of patients in the Longo and
Ferguson groups were [47(25-65) and 45(23-71)] years
respectively. The Longo´s group had a shorter
operating time, less frequent postoperative analgesia
intake, and earlier return to normal activity. Length of
hospital stay was not significantly different between
the groups being discharged within 24 hours. In third
degree haemorrhoid disease functional outcome was
better in the Longo´s  group.
Conclusion: Use of a Longo’s technique in the
treatment of third degree haemorrhoid disease was
safe and effective, but not effective in  fourth degree.
Key words: Haemorrhoidectomy, Longo, Ferguson

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