Longo surgery for hemorrhoids

As the operation is carried Longo?

Hemorrhoidopexy performed using local anesthesia and intravenous. Plot mucosa has no pain feelings, and therefore an operation without pain, but, its initial stage, wherein the expander is inserted into the anal canal, very painful.

1. Perianal skin stretches to the side clamps.
2. Then, inserted into the anus dilator, lockable seams, injected with obturator anoscope.
3. A little further on the dentate line is superimposed special purse string suture. When the stitches are made, anoscope is removed and re-inserted. Before you tighten the thread is checked properly suturing and clearances.
4. Circular stapler inserts into the gut. Then, tighten the purse string suture, tied in a knot yarn output from the stapler tied and held in position.
5. stapler handle moves inside, then turns strongly clockwise, units with a part of the mucous dissect knife, and the wound is fixed. After removing the stapler, subjected to inspection, remote piece of mucous, evaluating whether the procedure is performed correctly.
6. After removing the stapler, check staple line, and make a few stitches, if necessary, a special thread, which resolves.
7. After all this,, anoscope is removed. When the operation is completed Longo hemorrhoids, inserted into the anus of a special gauze, propitannayat ointment tube and vent. They remain there for about a day.

Removal of hemorrhoids by Longo lasts about twenty minutes, and the total rehabilitation lasts up to seven days, though, that the hospital patient stays not longer than three days.

Advantages and disadvantages of muco-submucosal resection

• Postoperative period is painless. More 84 percent, the respondents said, that he did not feel any pain after the intervention resectable. Five days already 98 percent did not feel anything. If we compare this with the operation of Morgan, the pain present in all of the respondents, and lasts a long time.
• Absence of wounds after surgery.
• The operation is performed in the fastest time possible.
• Disability does not last long.
• Quickly restored structure anus.

But, as well as all the operations, Longo method for hemorrhoids has its drawbacks:

1. External hemorrhoids nodes, Longo's method does not eliminate.
2. Long-term effects of the operation are not known.

Price Longo operation is thirty-six thousand rubles, and even more. The cost of surgery is much cheaper Milligan, but it has a lot of unpleasant consequences.

Cost Longo operation also depends on the set of tools used, a doctor's qualification, who will perform the operation, and this can be found in the list of services of any medical center.

Operation Morgan considerably cheaper, So, as well as most standard tool used. But when a Longo operation, It requires a whole set of special equipment, which includes extender, anoscope, special stapler. All this is very expensive.

However, if we look at the advantages and disadvantages of both techniques operations, a price, rehabilitation and consequences after them, can agree, Longo that the method is much better to remove hemorrhoids.

What are the complications after surgery?

• During operation, at low haemostasis, or when passing the mucous edges, it may happen such a nuisance, as the intra-abdominal bleeding.
• Another unpleasant consequence can be a fistula. When the rectovaginal fistula formed a "corridor" from the rectum into the vagina directly. This happens, when germs and infection are all in the field of mucosal. Develops an inflammatory process, that literally "eats" fabric. Such a fistula entails unpleasant gynecological diseases, as the microflora of the anal canal and rectum is absolutely incompatible with vaginal microflora.
• Education sepsis. condition, is a danger to life. Rektoperitonealny develops sepsis, when infection, located in the gut, It falls into the peritoneum. From there, it enters the blood easily, It causes infection, and the absence of adequate treatment - the patient's death.
• And last complication is thrombosis. Inferior vena cava thrombosis often needs nephrectomy, ie complete removal of the kidney.

If you understand, that there is only one way and that is to treat hemorrhoids - operation, you should talk to surgeons, who are experts in the field such operations. Talk to them, ask your questions, consult and can then, you will understand, that the surgical removal of hemorrhoids path is not so terrible. This is better, than to run his condition further and further, let hemorrhoids progress and flow into the most terrible and complex forms. May be, experts reassure you, maybe people, passed through it, will give you strength and determination, but on unfounded fears sure you get rid.