Gela A. Mukhashavria

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Circumferential excisional hemorrhoidectomy (CEH) enables the surgeon to remove the encircling hemorrhoids completely. The purpose of this study is to compare the efficacy of CEH with that of Ferguson hemorrhoidectomy (FH) for end-stage hemorrhoids. Between February 1998 and December 2011, a prospective randomized trial was conducted with 688 patients who(More)
BACKGROUND Recurrence and/or complications after 3-quadrant hemorrhoidectomy or stapled hemorrhoidopexy still remain a challenging problem. This challenge is even greater for massive hemorrhoidal thrombosis leading to edema, ulceration, and/or gangrene. To address this challenge, we developed a further modification of the Whitehead procedure termed(More)
A modified Whitehead operation, circumferential excisional haemorrhoidectomy (CEH), is described. This procedure is suitable for large, circular, internal haemorrhoids, notably when they are associated with huge external haemorrhoids. Briefly, CEH involves complete enucleation of external/internal haemorrhoidal complexes from the subanodermal skin and(More)
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