Anal/rectal

Question 1

haemorrhoids

Answer 1

1) Rubber band ligation
2) Open haemorrhoidectomy
3) Stapled haemorrhoidectomy
4) HALO/THD procedure

Question 2

complete rectal prolapse management

Answer 2

1. Bulking agent and manual reduction – if frail
2. Surgery
   a. Abdominal rectopexy
   b. Delorme’s procedure
   c. Perineal rectopexy
3. Mesh – Biological mesh [pig skin]a

Question 3

anal fissure

Answer 3

1. Dietary advice, stool softeners
2. Pharmacological sphincterotomy [GTN ointment, Diltiazem ointment]
3. Lateral sphincterotomy
4. Botox injection

Question 4

fistula in ano

Answer 4

1) Seton – draining, cutting
2) LIFT procedure
3) Glue/Permacol
4) Defunctioning colostomy