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Place the following items on a nonsterile drape covering a Mayo stand: Hemorrhoidectomy is performed through an elliptic incision over the site of thrombosis with removal of the entire diseased hemorrhoidal plexus in one piece. A review of the patient's previous operative reports along with a detailed anorectal exam can confirm the diagnosis. About half of the fistula Training and experience in general and skin surgery are necessary before the physician attempts this procedure unsupervised. Suturing in this area, historically, has been avoided because of fear of complications, yet the rich vascular network in the anal tissues usually provides for rapid healing. Although endorectal advancement flap is considered a sphincter preserving technique, the sphincter complex can be injured by stretch during the operation, the proximal internal sphincter could be disrupted by the raising of the flap, and an ectropion caused by advancing the flap beyond the internal fistula opening at the dentate line can cause moisture and fecal leakage.
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Does Cauterizing A Wound Really Work? | The Medicine Journal

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Surgical Management of Hemorrhoids

Repair of vaginal and perineal tears There are four degrees of tears that can occur during delivery: This can be done with a seton. Cocaine is the only local anesthetic that also produces vasoconstriction , [15] making it ideal for controlling nosebleeds. Ultrasonic coagulation and ablation systems are also available.
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