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

Abstract

Objective: The introduction of a Longo´s technique forthe treatment of haemorrhoids has the potential for lesspostoperative pain, a short operating time and an earlyreturn to full activity. The outcome of Longo´stechnique was compared with that of current standardsurgery in a randomized controlled study, and followedup three years.Method: Forty patients were randomized to eitherFerguson technique (n = 20) or Longo’s techniques (n= 20).Each patient received standardized postoperativeanalgesic and laxative regimens, and completed alinear analogue pain score every 6 h during the firstday after operation, after the first motion and daily untilthe end of the second week. Operating time, frequencyof postoperative analgesic intake, hospital stay, timeto return to normal activity and postoperativecomplications were also recorded.Results: The mean ages of patients in the Longo andFerguson groups were [47(25-65) and 45(23-71)] yearsrespectively. The Longo´s group had a shorteroperating time, less frequent postoperative analgesiaintake, and earlier return to normal activity. Length ofhospital stay was not significantly different betweenthe groups being discharged within 24 hours. In thirddegree haemorrhoid disease functional outcome wasbetter in the Longo´s group.Conclusion: Use of a Longo’s technique in thetreatment of third degree haemorrhoid disease wassafe and effective, but not effective in fourth degree.Key words: Haemorrhoidectomy, Longo, Ferguson