The Surgical Treatment of Haemorrhoids

Abstract

it would not be better to retain our nineteen examining bodies, and try whether we cannot induce them to compete with one another as to which should have the highest character, do most to improve education, and so elevate our professional character. This it is that seems to me to be the all important object at which we should aim, to stimu'ate our examining bodies to compete as to which should have the highest character. IIitherto the competition has, it is said, been as to which could make its examinations most easy, and so attract candi(dates to its portals. This may be true of some; but when such a charge is brought against us, we can lift our heads with pride and refute it by pointing, not to one, but to the majority of our

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

“…1,2 Hemorrhoidectomy can be performed according to closed or open methods, which may include the Ferguson, Whitehead, or Milligan-Morgan methods. [3][4][5] While these various approaches involve different techniques and instruments, there is no evidence for significant differences in the results obtained between closed and open hemorrhoidectomies. 6,7 In any surgical management of hemorrhoids, postoperative pain is the most common complaint.…”

Stapled Hemorrhoidectomy With Local Anesthesia can be Performed Safely and Cost-Efficiently

“…The Whitehead-Rand hemorrhoidectomy 23,24 is an alternative technique for circumferential Grade III and IV hemorrhoids that, in properly selected patients, yields good results. [25][26][27][28] The procedure for prolapsing hemorrhoids (PPH) was first adapted to a circular endorectal stapler by Allegra in 1990 29 and later by Pescatori et al, 30 and in a larger study by Longo, 31 who proposed alleviating symptoms without affecting function by interrupting the blood flow to the hemorrhoids by circumferentially excising mucosa and submucosa rather than the hemorrhoids themselves.…”

Hemorroidectomia: estudo de 2.417 pacientes submetidos à cirurgia para tratamento da doença hemorroidária

“…Apesar dos inúmeros epônimos cirúrgicos, há, na verdade, quatro técnicas básicas: técni-cas abertas 11,15,25,42 , técnicas fechadas 5,11,15,25,27,42 , técnicas mistas 5,34,36,43 e técnicas amputativas (técnica de Whitehead e PPH) 52 . Todas estas cirurgias, tradicionalmente realizadas em regime hospitalar, hoje podem ser executadas também ambulatorialmente 11,18,22,23,38,41,44,48 .…”