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Ambulatory Surgery for Perianal Disease

In: Ultimate Guide to Outpatient Care

Author

Listed:
  • Andrea Divizia
  • Giuseppe S. Sica

Abstract

The gold standard in the diagnosis and treatment of proctological diseases is the exploration of the anal canal and distal rectum under anaesthesia (EUA), routinely performed as day case surgery. In selected cases it can be conducted as an outpatient exploration (OE) during a specialist surgical consultation. In the outpatient setting it is possible and safe to perform rubber band ligation, sclerotherapy and infrared coagulation for the treatment of haemorrhoidal disease, excision and incision of thrombosed external haemorrhoids, abscess drainage, setonage and fistulotomy also in case of perianal Crohn's disease, anal warts and skin tags removal. In terms of patients' satisfaction and success rate OE is comparable to EUA. All procedures can be performed under local anaesthesia. Pain control after the procedure is provided by oral pain killers.

Suggested Citation

  • Andrea Divizia & Giuseppe S. Sica, 2022. "Ambulatory Surgery for Perianal Disease," Chapters, in: Gaffar Sarwar Zaman (ed.), Ultimate Guide to Outpatient Care, IntechOpen.
    • Handle: RePEc:ito:pchaps:230133
    DOI: 10.5772/intechopen.97119
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    File URL: https://www.intechopen.com/chapters/76071
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    More about this item

    Keywords

    outpatients exploration; haemorrhoids; abscess and anal fistula; skin tags; anal warts; perianal Crohn's disease;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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