HEMORRHOIDECTOMY

index

table of contents

my operations

How I did It?

Operative Technique

Ø      Patient supine positioned into lithotomy under SAB

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Lord’s maneuver

Ø      Hill-Ferguson retractor inserted

Ø      Inspection done

Ø      Wet sponge inserted as rectal pack

Ø      Hemorrhoidal clamp applied and retracted hemorrhoids downwards

Ø      Hemorrhoidal pedicle suture-ligated with chromic 2.0

Ø      Elliptical incision made on the anoderm and mucosa overlying the hemorrhoid towards pedicle

Ø      Hemostasis

Ø      Continuous running suture made to close mucosal defect anchoring to underlying internal sphincter

Ø      Anoderm left open

Ø      Saline irrigation

Ø      Hemostasis

Ø      Wet sponge removed

Ø      Anal packing with small wet sponge

Ø      Dry sterile dressing placed