Haemorrhoid treatment by the Longo technique or laser

Alongside conventional haemorrhoidectomy, other techniques can treat some types of haemorrhoidal disease, usually with less pain afterwards. They are not suitable for every situation: the choice is made after a careful proctological examination. The Longo technique (stapled haemorrhoidopexy) does not remove the haemorrhoids themselves. Using a circular stapler inserted through the anus, the surgeon removes a ring of lining located above the haemorrhoids. This lifts them back into place and reduces their blood supply. There is no wound on the skin around the anus. Laser treatment involves inserting a thin fibre into each haemorrhoidal cushion to shrink it from the inside with heat, without removing any tissue. It is mainly suited to moderately sized haemorrhoids that bleed or prolapse only slightly. Both techniques allow a quick recovery, but the risk of recurrence is slightly higher than with conventional surgery. At Clinique Pasteur Tunis, these procedures are performed in the operating theatre, usually with a short hospital stay. The surgeon explains the advantages and limits of each technique so that the most suitable one can be chosen together with the patient.