Assisted a perianal abscess with low fistula. fistulectomy done, saw granulation tissue. entire procedure with diathermy,
tissue grasped with toothed.
bispeculum used,
badprep, tried to resolve with wash 10ml syringe and later with bladder wash syringe. and packing with gauze, gauze did not come out, tried sigmoidoscopy but could not find it. So always use peglec prep.
Int sphicter seen very clearly as white structure in the end. contractions also. pushed away during dissection with diathermy blade.
Packed with 4 gauzes covered with soframycin,
Postop
oral peglec
ivf
inj oflin oz
sitz bath
syp cremaffin.
inj tramazac
pca
tissue grasped with toothed.
bispeculum used,
badprep, tried to resolve with wash 10ml syringe and later with bladder wash syringe. and packing with gauze, gauze did not come out, tried sigmoidoscopy but could not find it. So always use peglec prep.
Int sphicter seen very clearly as white structure in the end. contractions also. pushed away during dissection with diathermy blade.
Packed with 4 gauzes covered with soframycin,
Postop
oral peglec
ivf
inj oflin oz
sitz bath
syp cremaffin.
inj tramazac
pca

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