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Anal Examination Under Anesthesia with Abscess Drainage and Evaluation for Fistula

Jennifer Shearer, MD; Brooke Gurland, MD, FACS
Stanford University School of Medicine

1. Introduction

2. Surgical Approach

  1. Pre-op Exam
  2. Pudendal Nerve Block
  3. Inject More Local Anesthetic

3. Incision and Drainage of Abscess

4. Anal Examination and Evaluation for Fistula

  1. Clean Cavity

5. Hemostasis, Final Inspection, and Counter Incision

6. Pezzer Drain Placement

7. Summary

8. Post-op Remarks