Anorectal Disorders Flashcards

1
Q

What are examples of congenital anorectal disorders?

A

Imperforate Anus
Urogenital Fistulae
Hirschprung’s Myenteric Plexus Deficiency

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2
Q

What are examples of acquired anorectal disorders?

A
Haemorrhoids
Fissure
Abscess
Fistula-in-ano
Ulceration
Cancer
Control of continence
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3
Q

What are risk factors for anorectal disorders?

A

Inflammation
Infection
Malignancy
Trauma

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4
Q

What are the treatments for haemorrhoids?

A

Stapled Anopexy - Procedure for prolapse and haemmorrhoids

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5
Q

What are the treatments for an anal fissure?

A

Relax Internal Anal Sphincter

Medical

  • topical nitric oxide
  • 0.2% glyceryl trinitrate paste
  • 2% diltiazem calcium blocker

Surgical
- internal lateral sphincterotomy

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6
Q

Treatments for peri-anal abscess?

A

Incision and drainage

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7
Q

Treatments for fistula-in-ano

A

Superficial
- lay open by fistulotomy

Trans-sphincteric

  • seton suture
  • Cook SIS fistula plug
  • aim to close primary opening
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8
Q

How can continence be helped?

A

Sacral nerve root stimulator implant

  • anorectal manometry and endoanal US
  • S2-4 nerve roots
  • trial then permanent
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