Saturday, June 28, 2014

Fissure- Closed Lateral Internal Sphincterotomy

Biflange proctoscope to open after pr.
Adr with lig injection to 3'0 clock
Laternal nick at intersphincteric groove.
Scissors inside initially to plane between sphinters and then to cut internal sphincter.
excise skin tag with diathermy
Gelonet anal pack and t bandage over gauze.

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