Module 1

Question 1

sphincter/o

Answer 1

sphincter

Question 2

-otomy

Answer 2

surgical incision

Question 3

anal fissure

Answer 3

a crack or tear(s) in the membrane that is the lining of the anus or anal canal

Question 4

who does anal fissure removal and sphincterotomy

Answer 4

Proctologist or general surgeon

Question 5

do you need anesthesia for anal fissure removal and sphincterotomy

Answer 5

any of the three, local, general, or spinal (usually general)

Question 6

what testing might be done before an anal fissure removal and sphincterotomy

Answer 6

blood and urine studiesL anoscopy, sigmoidoscopy

Question 7

length of hospital stay for anal fissure removal and sphincterotomy

Answer 7

0 to 1 day

Question 8

anal fissure removal and sphincterotomy post op details

Answer 8

clean the area, use soft moistened tissues after every bowel movement
avoid vigorous exercise for 4 weeks
you may resume driving approx 1 week after returning home
to promote healing eat a balanced diet
increase fluid and fibre intake to prevent constipation

Question 9

Anal fistula removal

Answer 9

abnormal connection between the epithelialized surface of the anal canal and (usually) the perianal skin

Question 10

appendectomy

Answer 10

surgical removal of the vermiform appendix

Question 11

Bariatric Surgery

Answer 11

gastric bypass - type of procedure performed on people who are dangerously obese, for the purpose of losing weight - achieved by reducing the size of the stomach with an implanted medical device (gastric banding) or through removal of a portion of the stomach

Question 12

Cholecystectomy (lapraroscopic)

Answer 12

gall bladder removal - surgical removal of the gallbladder

Question 13

laparoscope

Answer 13

a firber-optic instrument used for diagnostic imaging and surgical procedures

Question 14

what is done before ANAL FISTULA REMOVAL

Answer 14

x-rays of the lower GI tract; colonoscopy

Question 15

lay-open of fistula-in-ano is?

Answer 15

to cut the fistula open - once laid open, will be packed on a daily basis for a short period of time to ensure the wound will heal from the inside out

Question 16

cutting seton is?

Answer 16

if the fistula is in a high position and it passes through a significant portion of the sphincter muscle - insert a thin tube through the fistula tract and tie the ends together outside of the body - the seton is tightened over time gradually cutting through the muscle and healing as it goes

Question 17

fibrin glue injection is?

Answer 17

inject the fistula with a biodegradable glue which will close the fistula from the inside out

Question 18

fistula plug is?

Answer 18

plug the fistula with a “plug” from the inside of the anus with suture, letting the fistula heal from the inside out

Question 19

endorectal advancement flap

Answer 19

the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening - the flap is lifted to expose the fistula, which is then cleaned and the internal opening is sewn shut - the flap is pulled down over and sewn

Question 20

AFP / anal fistula plug

Answer 20

placement and fixing of a plug in the anal fistula by a special technique - requires hospitalization for only about 24 hours

Question 21

colonoscopy

Answer 21

endoscopic examination of the colon to the distal part of the small bowel with a fiber optic camera on a flexible tube (called colonsscope) passed through the anus

Question 22

colon/o

Answer 22

large intestine (colon)

Question 23

-scopy

Answer 23

visual examination / using a scope