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
3
4
5
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