Surgery

Following basic investigations: Anesthesia: Local anesthesia with sedation or regional anesthesia Position: Prone i.e. patient lying on the stomach Procedure: An elliptical incision is taken around the pilonidal sinus involving the midline pits. The sinus is excised upto the base and sent for histopathology. The unhealthy tissue is scooped and wash is given. Based on …

Pilonidal Sinus excision with or without Primary Closure or Flap Read More »

Following basic investigations: Anesthesia: Local with sedation or regional anesthesia Position: Prone i.e. patient lying on the stomach or lithotomy Procedure: The pus is aspirated and sent for culture and sensitivity. The incision is taken over the abscess and pus is drained after breaking all the loculi. The wall of the abscess cavity is excised …

Incision and Drainage of the Anorectal Abscess Read More »

Following basic investigations: Anesthesia: Local with sedation or regional anesthesia Position: Prone i.e. patient lying on the stomach or lithotomy Procedure: The external opening is identified, methylene blue dye along with hydrogen peroxide is instilled through the external opening and dye is seen coming out through the internal opening. The incision is taken around the …

Fistulectomy Read More »

Following basic investigations: Anesthesia: Local with sedation or regional anesthesia Position: Prone i.e. patient lying on the stomach or lithotomy Procedure: The hemorrhoid mass is dragged down and a pedicle stitch of absorbable suture is applied at the apex of the pile mass. The pile mass is excised in a cloverleaf fashion submucosally from external …

Modified Closed Hemorrhoidectomy Read More »

Following basic investigations: Anesthesia: Local anesthesia with sedation or regional anesthesia Position: Prone i.e. patient lying on the stomach or lithotomy Procedure: The ulcer is excised by separating from the underneath muscles. Then a wedge partial sphincterotomy is done. After hemostasis the mucosa is hitched by marsupilization or by suturing to the skin edge. The …

Fissurectomy Read More »