Randomized Clinical Trial of Longo´s Technique Versus Ferguson’s Haemorrhoidectomy; Follow-up Three Years

The introduction of a Longo´s technique for the treatment of haemorrhoids has the potential for less postoperative pain, a short operating time and an early return to full activity. The outcome of Longo´s technique was compared with that of current standard surgery in a randomized controlled study, and followed up three years. Method: Forty patients were randomized to either Ferguson technique (n = 20) or Longo’s techniques (n = 20). Each patient received standardized postoperative analgesic and laxative regimens, and completed a linear analogue pain score every 6 h during the first day after operation, after the first motion and daily until the end of the second week. Operating time, frequency of postoperative analgesic intake, hospital stay, time to return to normal activity and postoperative complications were also recorded. Results: The mean ages of patients in the Longo and Ferguson groups were [47(25-65) and 45(23-71)] years respectively. The Longo´s group had a shorter operating time, less frequent postoperative analgesia intake, and earlier return to normal activity. Length of hospital stay was not significantly different between the groups being discharged within 24 hours. In third degree haemorrhoid disease functional outcome was better in the Longo´s group. Conclusion: Use of a Longo’s technique in the treatment of third degree haemorrhoid disease was safe and effective, but not effective in fourth degree.