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(11) Even if the internal and external sphincters are not incorporated into the mucosal doughnuts, they may be damaged when they are stretched by the circular anoscope or the stapler head during the operation.
LUV procedure: The LUV procedure was performed in the operating room under spinal anesthesia using the Jackknife position and exposing the anal canal using the Hill-Ferguson anoscope. Ligations were placed at the base of the area of visible pathologic hemorrhoidal piles just approximately 2 to 3 cm above the dentate line.
Caption: FIGURE 1: (a) The three-window anoscope without the obturator was inserted into the anus.
With the anoscope inserted, using the technique described above, multiple running sutures were placed above the dentate line, in order to avoid the anoderm and tied at the proximal end of the hemorrhoid (Figure 4).
After clearing the rectum with a suppository (Klyx, Ferring AS, Copenhagen, Denmark), a multimodal rectal probe (Ditens A/S, Aalborg, Denmark) was inserted through a small anoscope .
The doctor can examine the anus and the anal canal in the office with the unaided eye or by using a small instrument called an anoscope. If a more serious problem must be ruled out, a sigmoidoscopy or colonoscopy may be recommended.
Under general anesthesia the sphincter was dilated with the Pratt anoscope. The 40 mm Wolf proctoscope could not be advanced beyond the circular EEA anastomosis.
Blind sampling is superior to anoscope guided sampling for screening for anal intreapithelial neoplasia.
drapes, sigmoidoscope, anoscope, biopsy instruments, endoscopic accessories), as they are supplied sterile, ready-to-use and carry a manufacturer and supplier guarantee.
"You will feel things with your finger that you'll not see either on a Pap smear or through the anoscope because a lot of the cancers are subcutaneous at that point," he said.
An optional (and as reasonable) approach is to investigate using a simple anal and rectal examination, with the help of an anoscope, looking for an active bleeding source such as a hemorrhoid or an anal fissure.
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