Anal Surgery and Colon and Rectal Surgery
Anal Surgery and
Colon and Rectal Surgery
Elizabeth J. McConnell MD FACS FASCRS
Surgery of the Anus
? Hemorrhoids ? Fistula ? Fissure ? Abscess
1
Hemorrhoid
Internal or External 1-3 columns Internal ? 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 Can remove 1 2 or 3 columns 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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