HEMORRHOIDECTOMY

Operative Technique

Patient supine positioned into lithotomy under SAB

Asepsis and antisepsis technique

Sterile drapes placed

Lord’s maneuver

Hill-Ferguson retractor inserted

Inspection done

Wet sponge inserted as rectal pack

Hemorrhoidal clamp applied and retracted hemorrhoids downwards

Hemorrhoidal pedicle suture-ligated with chromic 2.0

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

Hemostasis

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

Anoderm left open

Saline irrigation

Hemostasis

Wet sponge removed

Anal packing with small wet sponge

Dry sterile dressing placed