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Can Longo stapled haemorrhoidopexy for haemorroids be a day-case procedure?

G Florio, G D'Amata, M Crovaro

    Il Giornale Di Chirurgia
    |February 3, 2020
    PubMed

    Insights

    This study on Longo

    Area of Science:

    • Colorectal Surgery
    • Surgical Outcomes
    • Hemorrhoid Treatment

    Background:

    • Hemorrhoid treatment often involves inpatient stays.
    • Assessing the feasibility of outpatient procedures is crucial for patient care and resource management.

    Purpose of the Study:

    • To evaluate the safety and feasibility of same-day discharge after Longo's procedure for symptomatic hemorrhoids.
    • To determine the rate of early postoperative complications requiring intervention after Longo's procedure.

    Main Methods:

    • Retrospective analysis of 100 consecutive elective Longo's procedures for symptomatic hemorrhoids (grades III-IV, ASA I-II).
    • Data collected on patient discharge timing and postoperative complications within the first night.
    • Standard postoperative care included oral NSAIDs and stool softeners.

    Main Results:

    • 98% of patients were discharged the day after surgery.
    • Two patients experienced postoperative bleeding (mild and severe) managed conservatively without rehospitalization.
    • No patients required rehospitalization.

    Conclusions:

    • Longo's procedure for symptomatic hemorrhoids can be safely performed as a day-case procedure.
    • Early discharge is feasible for most patients, with minimal complications managed conservatively.
    • This supports the introduction of day-case stapled hemorrhoidectomy.

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