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Perioperative management - Electrocaustic removal of anal condylomata acuminata

  1. Indications

    • Except for small, isolated perianal condyloma lesions, the diagnosis of peri- and intra-anal condylomas indicates the need for complete surgical removal.
  2. Contraindications

    • There are no contraindications except in severely ill moribund patients. In the case of acute local inflammation (e.g., abscess), the procedure should be postponed until the infection is resolved.
  3. Diagnostics

    • Proctological examination: inspection, palpation, proctoscopy, rectoscopy
    • If there is suspicion of malignant transformation and an infiltrative finding, a biopsy should be primarily initiated, followed by necessary diagnostics.
  4. Special Preparation

    • None, in individual cases possibly cleaning or emptying of the rectum
  5. Informed consent

    • Recurrence
    • Local wound healing problems
    • Bleeding
    • Cosmetically disturbing changes in the anal region with extensive findings
    • Impairment of skin sensitivity
Anesthesia

Intubation anesthesia (Intubation anesthesia),Regional anesthesia (Spinal anesthesia, Caudal anesth

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