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Procedures

Dr White offers a range of surgical procedures and other treatments for patients with conditions affecting the lower gastro-intestinal tract, including:

Anorectal Physiology

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.

Anorectal Physiology

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.

Bowel Cancer Surgery

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.

Colonoscopy and Polypectomy

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.

Detecting Bowel Cancer

Fissure Surgery

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'.

Fissure Surgery

Fistula Surgery

This are a range of surgical approaches to treat an anal fistula.

Fistula Surgery

Gastroscopy

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.

Gastroscopy

Haemorrhoidectomy

This is a procedure to remove haemorrhoids. Most small/moderate sized haemorrhoids are generally removed using a process known as 'rubber band ligation'.

Haemorrhoidectomy

Hernia Surgery

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.

Hernia Surgery

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.

Intestinal Endometriosis Surgery

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.

Laparoscopic Colorectal Surgery

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.

Major Bowel 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.

Pilonidal Sinus Treatment

Prolapse Surgery

Surgery to correct prolapse can be carried out via either the abdomen or the anus.

Prolapse Surgery

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'.

Rubber Band Ligation

Sacral Nerve Stimulation

This procedure is offered to patients who are suffering severe faecal incontinence.

Sacral Nerve Stimulation

Sphincterotomy

This procedure is offered to patients who have developed a chronic anal fissure. It is known more precisely as a 'lateral internal sphincterotomy'.

Sphincterotomy

Stomal Therapy

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.

Stomal Therapy

Transanal Endoscopic Microsurgery

This procedure allows the removal of polyps that for various reasons cannot be removed during a colonoscopy.

Transanal Endoscopic Microsurgery

Transanal Haemorrhoidal Dearterialisation

This is an alternative treatment to rubber band ligation and surgical removal to treat haemorrhoids.

Transanal Haemorrhoidal Dearterialisation