bandage-green

Anal Fistulotomy and Seton Placement

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Jack-Knife, Lithotomy, arms extended
Time : 5-30 min (very short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Pudendal

Anesthetic Approaches

1GLMA, Local Anesthetic
2GETT, Local Anesthetic
3Spinal
The Surgery

Exam under anesthesia - the anal canal is inspected and the external opening probed; hydrogen peroxide or methylene blue via the external opening helps identify the internal opening at the dentate...

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