Abstract
The Whitehead operation for hemorrhoids is defined as "the excision of the pile-bearing segment of mucous membrane, together with its piles, followed by the immediate suturing of the divided mucous membrane above to the skin below." This operation enjoyed a wide popularity for a number of years, but unfortunate sequelae gradually reduced this popularity until in recent years it has been done less and less frequently. At the London meeting of the American Proctologic Society in 1924, Mr. J. Lockhart-Mummery remarked that if the meeting had accomplished nothing else it would have been justified by having sounded the death knell of the Whitehead operation. The condition which I have designated the Whitehead deformity is the usual type of bad result which in a considerable percentage of cases follows this procedure. There is a skin stricture at the anal margin, usually with a lumen about one-half inch in
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