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• Internal hemorrhoids
• Disruption rectal mucosa
• Anorectal mass
• Foreign body in the anal canal
• Samples for cytology
• Anal polyps
• Tumors
• Inflammation
• Fissures
• Infection
RISK ASSESSMENT
• An imperforate anus
• Recent anal or rectal surgery
• Bleeding disorders
• Acute cardiovascular problems
• Acute abdominal problems
• Constricted /narrowed anal canal.
• Allergy to medication/anesthesia
• Blood tests
• Urine analysis
• ECG
• Chest X-ray
• USG
• Laxative/ enema was given
ANESTHESIA:
Local anesthesia
THE PROCEDURE
• Digital rectal examination was performed for bleeding or an obvious
mass.
• The anoscope was lubricated with lubricating jelly/ lidocaine jelly.
• The anoscope was introduced gently and advancesd it slowly with a
slight side-to-side twisting motion while the patient bears down.
• With maintaining pressure over the obturator with the thumb
anoscope was completely inserted
• The obturator was removed
• As the anoscope was slowly withdrawn, the anal mucosa was
visualized over the entire circumference of the canal
• Debris /blood/ tissue was swabbed for analysis
• With applying the counter pressure anoscope was withdrawn
FINDINGS:
Normal results
Abnormal results
AFTER PROCEDURE:
DURATION
______ min/hrs
POSTOPERATIVE CARE
• Take sitz bath
• Take pain medication as prescribed
• Take antibiotics as prescribed
COMPLICATIONS
• Bleeding
• Infection
• pain