cqvip:Objectives-The aim of this retrospective multicentric study was to assess the complications of the Longo technique for the treatment of haemorrhoidal disease. Methods-From March 1999 to April 2003, 550 patients underwent a stapled hemorrhoidectomy following Longo’s technique in 12 surgical units in the Rhne-Alpes Region. The operative indications were the same as for conventional hemorrhoidectomy. Complications were divided into early or late complications depending on whether they occurred before or after the 7 th day. For each patient, the most serious complication was retained for analysis. Results-One hundred and five patients (19%), mean age 51 years, experienced complications. The early complications were bleeding (1.8%), severe anal pain (2.3%), urinary retention (0.9%) and sepsis (0.5%). Late complicationswere chronic anal pain (1.6%), suture dehiscence (1.6%), anal stricture (1.6%) , anal fissure (0.9%), ex- ternal thrombosis (0.9%), fistulae and intramural abscesses (0.9%), anal incontinence (0.3%), haemorrhoidal disease symptoms persistence or recurrence (3.2%). Strictures were successfully dilated, fissures were treated by sphincterotomy, external thromboses were excised and fistulae were laid open. Most of the recurrences were treated with the Milligan-Morgan hemorroidectomy technique. Conclusion-Complications may occur after stapled hemorrhoidopexy, some are particularly serious, especially bleeding and sepsis.
展开▼
