Doppler-Guided Hemorrhoidectomy
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Questions and Answers

What is the purpose of using a Doppler probe in Doppler-guided hemorrhoidectomy?

  • To remove the hemorrhoids surgically
  • To precisely identify and ligate the hemorrhoidal vessels (correct)
  • To decrease the blood flow to the hemorrhoids
  • To examine the external hemorrhoids

    • What behavioral modifications are important in preventing the recurrence of hemorrhoids?

  • Spending more time on the toilet
  • Eating high-fat foods
  • Reducing dietary fiber and decreasing exercise
  • Increasing dietary fiber and limiting time spent on the toilet (correct)

    • What is necessary to adequately evaluate the long-term effectiveness of Doppler-guided hemorrhoidectomy?

  • Increased time spent straining in the squatting position
  • No need for further evaluation
  • More experience with the procedure (correct)
  • A different type of anoscope

    • What is the main complication for the glue/plug procedure?

    <p>Recurrence and abscess</p> Signup and view all the answers

    Which procedure involves ligating the intersphincteric tract and closing the internal opening?

    <p>LIFT procedure</p> Signup and view all the answers

    What is the success rate of the LIFT procedure?

    <p>80%</p> Signup and view all the answers

    In case of unsuccessful healing of an anal fistula, which more involved operation can be performed?

    <p>Rectal advancement flap</p> Signup and view all the answers

    What is the preferred treatment approach for transsphincteric anal fistulas to avoid fecal incontinence?

    <p>Sphincter­sparing approach using fibrin glue</p> Signup and view all the answers

    What is the role of placing a vessel loop draining seton into the fistula tract prior to sphincter­sparing procedures?

    <p>To allow the tract to heal around the seton for 3 months</p> Signup and view all the answers

    What is the success rate for the anal fistula plug procedure, based on the information provided?

    <p>50%</p> Signup and view all the answers

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