Anal Surgery and Colon and Rectal Surgery - AAPC

Anal Surgery

and

Colon and Rectal Surgery

Eli b h J.

Elizabeth

J McConnell

M C

ll MD FACS FASCRS

Surgery of the Anus

?

?

?

?

Hemorrhoids

Fistula

Fissure

Abscess

1

Hemorrhoid

Internal or External 1-3 columns

I t

Internal

l

? Band or Suture

? Chemical or Burn

? Excise or staple

External

? Thrombosed incise and excise clot

? Excise

2

Hemorrhoid/Definition

Internal inside anal canal

above dentate or pectinate line

C remove 1 2 or 3 columns

Can

l

Graded 1-4

? if grade one and grade two can only see with anoscope

? if grade 3 or 4 can only see outside external

External outside anal canal

below dentate or pectinate line

can represent a completely independent lesion

or can be the extension of an internal

Thrombosed clot independent

? Excise remove

? Incise drain

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