[Longo hemorrhoidopexy vs Milligan-Morgan hemorrhoidectomy: perspective analysis]

Area of Science:

• Colorectal Surgery
• Surgical Outcomes
• Hemorrhoid Treatment

Background:

• Hemorrhoids are a common condition requiring effective treatment.
• Surgical options for hemorrhoids include Longo hemorrhoidopexy and Milligan-Morgan hemorrhoidectomy.
• Comparing surgical techniques is crucial for optimizing patient outcomes.

Purpose of the Study:

• To compare the efficacy and safety of Longo hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy.
• To evaluate postsurgical pain, quality of life, and complication rates between the two procedures.
• To determine the preferred surgical method for hemorrhoid treatment based on patient experience.

Main Methods:

• A retrospective analysis of 117 patients undergoing either Longo hemorrhoidopexy (46 cases) or Milligan-Morgan hemorrhoidectomy (71 cases).
• Patient follow-up included assessments at 1 week, 1 month, and 6 months post-surgery.
• Data collected focused on pain levels, quality of life, and complication incidence.

Main Results:

• No significant difference in pain was observed 24 hours post-surgery.
• A significant reduction in pain (p<0.05) and improved quality of life were noted in the Longo hemorrhoidopexy group after 1 week.
• At 6 months, fewer cases of pain during defecation were reported in the Longo group (2) compared to the Milligan-Morgan group (6).

Conclusions:

• Longo hemorrhoidopexy is a safe and effective treatment for hemorrhoids.
• The Longo technique demonstrates lower postsurgical pain and complication rates.
• Hemorrhoidopexy offers a superior quality of life compared to hemorrhoidectomy.