Perioperative management - Diathermy excision / contact destruction of anal condylomata acuminata - general and visceral surgery
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Indications
- Except for small, insular, perianal condyloma clusters, the diagnosis of perianal and intra-anal condyloma mandates total surgical excision.
Contraindications
- The sole contraindication is for seriously ill moribund patients. In florid local inflammation (e.g., abscess), the procedure should be postponed until the infection has cleared.
Diagnostic work-up
- Proctological examination: Inspection, palpation, proctoscopy, rectoscopy
- If malignant transformation and infiltration are suspected, biopsy first and then follow up with appropriate diagnostic measures
Special preparation
- None, some cases may require cleansing or emptying of the rectum
Informed consent
- Recurrence
- Local wound healing problems
- Bleeding
- In extensive findings cosmetically vexing changes of the anal region possible
- Impaired skin sensitivity
Anesthesia
Positioning
Operating room setup
Special instruments and fixation systems
Postoperative management
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