Anorectal Conditions Flashcards
What are common presentations in anorectal conditions?
Pain
Haemorrhage
Dysfunction
Give 3 congenital anorectal abnormalities
Imperforate anus
Uro-genital fistulae
Hirschprung’s Myenteric Plexus Deficiency
Give some acquired ano-rectal abnormalities
Haemorrhoids Fissure Abscess Fistula Ulceration Cancer Control of continence
What may cause anal ulceration?
Crohn’s disease
Malignancy
Syphilis “Chancre”
Nicorandil
What is the procedure for prolapse and haemorhoids (PPH)?
Stapled Anopexy
What are the medical treatments for anal fissure?
Topical Nitric Oxide
0.2% Glyceral Trinitrate Paste
2% Diltiazem Calcium Blocker
What are the surgical treatments for anal fissure?
Internal lateral sphincterotomy
How do you treat perianal abcess?
Incision and drainage
How do you treat Anal squamous cancer?
Radiotherapy
How do you treat rectal adenocarcinoma
Neo adjuvant ChemoRad
Laparoscopic Resection
What surgery can help with Fecal incontinance?
Sacral Nerve Root Stimulator Implant
-Implant trial then permanent implant
