Diathermy excision / contact destruction of anal condylomata acuminata - general and visceral surgery

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date of publication: 05.07.2014

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  • Assessment of finding; specimen for histopathology

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    152-5

    Expose the lesions and confirm diagnosis by sending specimen for histopathology. The easiest way to do this is through excision with scissors. All suspected malignant lesions must be studied separately.

  • Snare excision

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    Remove all lesions as small as possible and always in completely superficial epicutaneous fashion. Here, too, the wet-resection technique can be recommended, as it improves the conduction of the current and better protects the environment through cooling. The excision must not involve the entire skin. This is unnecessary, since without exception the location of each lesion is epicutaneous. If a lesion extends more deeply, infiltrative growth may be present, in which case a more extensive and deeper excision becomes necessary (see AIN and anal cancer).

  • Contact destruction with ball-tipped diathermy

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    Once again with wet-resection technique destroy each lesion with electric current and then completely remove with a swab or sharp spoon.

  • Excision of intra-anal condyloma

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    Here proceed in the same way as perianally. It is quite typical that the lesions will extend into the transition zone. These lesions may easily be removed atraumatically with bipolar forceps.

  • Finding at the end of the procedure

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