Hemorrhoidectomy

Hemorrhoidectomy

Objective

In case of piles:

•   Excision of the veins of the anus

•   And associated overlying skin and mucous membrane.

Position

Supine (Lithotomy).

Anesthesia

General.

Procedure

1.  Skin tag held with hemostat and pulled down.

2.  Proximal portions of the hemorrhoidal complex are identified.

3.  Skin and mucous layers cut and suture ligated.

4.  Hemorrhoid is excised by scalpel or scissors.

5.  All primary piles dealt with similarly.

Instruments

•   Rectal set

•   Proctoscope

•   Lubricant

•   Large rubber tube.

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