Treatments
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Botox Injection
An injection of the toxin Botox may be used as a therapy for acute and chronic anal fissures. The toxin is injected directly into the internal anal sphincter and, in effect, performs a chemical sphincterotomy. The effect lasts approximately 3 months, until the nerve endings regenerate. This three month period may allow acute fissures...
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Haemorrhoidectomy
A Haemorrhoidectomy is carried out as an open operation for large haemorrhoids unsuitable for Rubber Band Ligation. Open haemorrhoidectomy An open haemorrhoidectomy may be necessary for large or complicated haemorrhoids. This procedure is performed under anaesthetic (either general, sedation with additional local...
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Hernia Repair
Open Hernia Repair An incision is made at the site where the hernia is located. The intestine or tissue within the hernial sac is placed back into the abdominal cavity and repaired either by sewing the abdominal wall back together with sutures or a patch repair is performed. In this repair a mesh patch is used to ...
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Polypectomy
A Polypectomy is the procedure of removing abnormal like growths that protrude into the lining of the bowel (polyps). Small polyps can be removed with an instrument called biopsy forceps, which takes off small pieces of tissue for examination then destroys the remainder of the polyp by cautery. Larger polyps are usually removed by...
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Rubber Band Ligation
The majority of haemorrhoids are treated with Rubber Band Ligation. The treatment is especially appropriate for larger haemorrhoids and neither general nor local anaesthetic is required, as there are no nerve fibres in the lower bowel lining. Over 90% of haemorrhoids can be treated comfortably by this technique. Rubber...
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Sphincterotomy
A sphincterotomy is a procedure performed on the internal anal sphincter muscle for the treatment of chronic anal fissure. The internal anal sphincter is one of two muscles that comprise the anal sphincter which controls the passage of faeces. The procedure is carried out whilst under sedation together with administration of local...
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Anorectal Physiology
What are Anorectal Physiology studies? These tests are done to check the nerves and muscles at the very end of the bowel. There is no preparation required for these tests. These tests are not painful and will not take longer than 45mins. Anal Manometry A very soft tube (manometry catheter) is put inside the anus and the...
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Fistula Repair
Fistula Repair A fistula repair closes the track between the internal lining of the anus and the outside skin preserving the anal sphincter muscle. There are various techniques used to achieve healing and the choice of procedure will depend on the individual circumstances and particularly on the amount of sphincter muscle...
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Fistulotomy / Seton insertion
Fistulotomy A fistulotomy is a surgical procedure opening the length of the track between the internal lining of the anus to the skin's surface to allow the open wound to heal gradually. The sphincter muscle is divided. This is the most common treatment used to repair a fistula. Seton Insertion A Seton is a flexible...
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Detecting Bowel Cancer
Faecal Occult Blood Test A simple test that can be done at home. The test detects tiny amounts of blood, often released from bowel cancers or their precursors (polyps or adenomas) into the stool. FOBT cannot actually tell if you have cancer, but is used to identify people who require further testing. Not all polyps are...




