Dr White offers a range of surgical procedures and other treatments for patients with conditions affecting the lower gastro-intestinal tract, including:
This is a diagnostic procedure to assess the physiology of the anus/rectum by determining various pressure measurements. This is not a surgical procedure as such and so no anaesthetic, or prior preparation is required. It is conducted on an outpatient basis.
Bowel Cancer Surgery
Bowel cancer (colorectal cancer) may require surgery, often the 'resection' (removal) of the affected section of the bowel. In some cases, a course of radiotherapy and/or chemotherapy may be needed before the procedure.
Colonoscopy and Polypectomy
A colonoscopy is often recommended when a condition affecting the bowel needs to be diagnosed. During a colonoscopy the surgeon is able to view the inside of the bowel / colon. Where there are any protrusions from the bowel wall ('polyps') these are generally removed during the colonoscopy – this process is referred to as 'polypectomy'. The process involves looping a small section of wire around the polyp and applying an electric current to the wire to remove the polyp. Although the majority of polyps are not cancerous, some can be, which is why polypectomy during a colonoscopy is strongly recommended.
Detecting Bowel Cancer
Bowel cancer is often asymptomatic (ie it shows no symptoms) in its early stages. The most effective way of detecting the presence of bowel cancer in its early stages is the FOBT (Faecal Occult Blood Test) which is able to detect minute amounts of blood in the stool. The FOBT is offered to everyone in Australia over the age of fifty every 1-2 years.
Where a fissure or 'split' forms in the anus (generally due to a spasm in the internal anal sphincter muscle), this is best treated in a surgical procedure known as an 'anal sphincterotomy'.
This are a range of surgical approaches to treat an anal fistula.
A gastroscopy is a diagnostic procedure that allow the surgeon to view the upper GI (gastrointestinal) tract. The procedure is similar to the equivalent for the bowel / colon - the colonoscopy. As well as being able to view the GI tract, some surgical procedures can also be carried out during a gastroscopy.
This is a procedure to remove haemorrhoids. Most small/moderate sized haemorrhoids are generally removed using a process known as 'rubber band ligation'.
Today most surgery to correct hernia formation uses keyhole techniques (sometimes referred to as 'minimally invasive surgery' or 'laparoscopic surgery'). This approach has a very high success rate (~99%) and involves a much lower level of pain for the patient than other approaches.
Intestinal Endometriosis Surgery
This is surgery to correct intestinal endometriosis - a condition where a type of tissue similar to that forming the lining of the womb forms in the intestine.
Laparoscopic Colorectal Surgery
This specific surgical technique, also known as 'minimally invasive' or 'keyhole' surgery, allows the surgeon to perform surgery to the bowel/colon via very small incisions to the skin, using specially developed surgical instruments.
Major Bowel Surgery
Some conditions affecting the bowel, such as bowel cancer, may require the removal of the affected section of the bowel. Dr White will be able to advise the most suitable approach - this may be 'minimally invasive' or 'open' surgery.
Pilonidal Sinus Treatment
Surgery is generally required to treat an infected pilonidal sinus. This involves allowing the build-up of pus in the sinus to drain away.
Surgery to correct prolapse can be carried out via either the abdomen or the anus.
Rubber Band Ligation
This procedure is commonly used to treat moderately-sized haemorrhoids. It is a relatively quick procedure that does not require anaesthetic and is generally conducted in Dr White's rooms. The procedure is often referred to simply as 'banding'.
Sacral Nerve Stimulation
This procedure is offered to patients who are suffering severe faecal incontinence.
This procedure is offered to patients who have developed a chronic anal fissure. It is known more precisely as a 'lateral internal sphincterotomy'.
Where surgery to the bowel / colon requires the fitting of a colostomy / ileostomy, stomal therapy will be required to help the patient adjust to the new device.
Transanal Endoscopic Microsurgery
This procedure allows the removal of polyps that for various reasons cannot be removed during a colonoscopy.
Transanal Haemorrhoidal Dearterialisation
This is an alternative treatment to rubber band ligation and surgical removal to treat haemorrhoids.