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[Hemorrhoidal disease. Current surgical treatment and the place of Whitehead's operation]

G Germanov, M Radionov, D Ziia

    Khirurgiia
    |May 25, 2002
    PubMed

    Insights

    This review examines hemorrhoid anatomy, physiology, and etiology, highlighting surgical advancements. Whitehead's operation is confirmed as the gold standard for advanced hemorrhoidal disease.

    Area of Science:

    • Colorectal Surgery
    • Gastroenterology

    Background:

    • Hemorrhoidal disease affects a significant portion of the population.
    • Understanding the anatomy, physiology, etiology, and pathogenesis is crucial for effective treatment.
    • Current surgical approaches require ongoing evaluation and differentiation based on pathogenetic principles.

    Purpose of the Study:

    • To review current knowledge on hemorrhoid anatomy, physiology, etiology, and pathogenesis.
    • To discuss novel concepts in the surgical treatment of hemorrhoidal disease.
    • To differentiate operative methods based on pathogenetic principles.

    Main Methods:

    • Review of existing data and current understandings of hemorrhoid anatomy and physiology.
    • Analysis of etiological and pathogenetic factors.
    • Presentation of operative results from the General Surgery Clinic, University Hospital 'St. Ann', Sofia (1991-2000).
    • Evaluation of 157 patients treated for hemorrhoidal disease.

    Main Results:

    • The study reviews the fundamental aspects of hemorrhoids and their development.
    • New surgical treatment concepts are introduced and analyzed.
    • Operative methods are categorized according to pathogenetic principles.
    • Analysis of 157 patient cases from 1991-2000.

    Conclusions:

    • Whitehead's operation is identified as the optimal surgical method for advanced hemorrhoidal disease (Stages III-IV).
    • The study supports the continued use of established procedures when indicated.
    • Further research into differentiating surgical techniques based on disease mechanisms is suggested.

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