Whitehead’s hemorrhoidectomy: Modified techniques and treatment outcomes
Main Article Content
Keywords
Abstract
Objective: We describe this technique in relation to postoperative complications and evaluate the results of Whitehead hemorrhoidectomy at Surgical Center of Coloproctological and Perineal Diseases, Viet Duc University Hospital. Subject and method: 17 patients were used Whitehead hemorrhoidectomy technique from October 2011 to June 2017, retrospective descriptive study. Result: Age 49.8 ± 13.6 (27 - 70), mean operating time (min) 50.6 ± 12.9 (30 - 80), mean hospital stay (day): 5.7 ± 1.7 (3 - 8), postoperative hemorrhage: 2 cases, anal stenosis: 1 case. Conclusion: Whitehead hemorrhoidectomy is a difficult technique, but the effective in treatment for circumferential hemorrhoid. Understanding the anal anatomy and technique is essential that we can use Whitehead’s hemorrhoidectomy with low rate of postoperative morbidity.
Article Details
References
2. Sagar PM, Wolff BG (1999) The use of the modified Whitehead procedure as an alternative to the closed Ferguson hemorrhoidectomy. Tech Coloproctol 3: 131-134.
3. Mukhashavria GA, Qarabaki MA (2011) Circumferential excisional hemorrhoidectomy for extensive acute thrombosis: A 14-year experience. Diseases of the Colon & Rectum 54(9): 1162-1169.
4. Whitehead W (1882) The surgical treatment of hemorrhoids. Bristish Medical Journal 1: 148-150.
5. Wolff BG, Culp CE (1988) The Whitehead hemorrhoidectomy: An unjustly maligned procedure. Diseases of the Colon & Rectum 31(8): 587-590.
6. Bonello J C (1988) Who's afraid of the dentate line? The Whitehead hemorrhoidectomy. The American Journal Of Surgery 156(3 Pt1): 182-186.
7. Soop M, Wolff BG (2009) Surgical treatment of hemorrhoids. London: Springer London.
8. Maria G, Alfonsi G, Nigro C et al (2001) Whitehead's hemorrhoidectomy. A useful surgical procedure in selected cases. Tech Coloproctol 5: 93-96.
9. Brisinda G, Vanella S, Cadeddu F et al (2009) Surgical treatment of anal stenosis. World Journal of Gastroenterology 15(16): 1921-1928.
10. Rand AA (1972) Whitehead's radical circumferential hemorrhoidectomy. Symposium on Diseases of the Colon and Anorectum 52(4): 1031-1045.
11. Li YD, Xu JH, Lin JJ et al (2012) Excisional hemorrhoidal surgery and its effect on anal continence. World Journal of Gastroenterology 18(30): 4059-4063.