A 'modified whitehead' hemorrhoidectomy
| Autor: | R. R. Manson, M. C. Burchell, G. Bruce Thow |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Fistula Anal Canal Hemorrhoids Postoperative Complications Surgical Wound Dehiscence Varicose veins medicine Humans Abscess Aged Postoperative Care Pain Postoperative Wound Healing business.industry Urinary retention Suture Techniques Gastroenterology Fecal impaction Rectal Prolapse General Medicine Middle Aged Anal canal Surgical Instruments medicine.disease Colorectal surgery Surgery medicine.anatomical_structure Cardiovascular Diseases Anesthesia Female medicine.symptom business Anesthesia Caudal Fecal Incontinence Follow-Up Studies |
| Zdroj: | Diseases of the Colon & Rectum. 19:225-232 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/bf02590907 |
| Popis: | Is there a place for the “modified White-head” hemorrhoidectomy? Some factors have been found to mitigate against the procedure: 1) inadequate extent of hemorrhoidal disease; 2) excess scar from previous disease or operation; 3) concurrent abscess or fistula: 4) unusually thin, tight anoderm (or conversely, moderately healthy anoderm with some tissue resiliency is an important factor in healing); 5) irritable-bowel disease. However, there is no greater discomfort or disability with this technique than with lesser procedures. We have found acceptable incidences of postoperative wound complications and have created no “wet anus.” We are aware that definitive measures directed toward alleviating postoperative urinary retention are indicated. Attention is being directed to this. We have not had “recurrent” hemorrhoids with this circumferential procedure, which removes all hemorrhoid-bearing tissue and leaves a smooth, unbunched anal canal. Therefore, we feel that this is the surgical procedure of choice for the patient who has advanced hemorrhoidal disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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