Ambulatory Anorectal Surgery

Ch. 1 Facilities for Ambulatory Surgery 1
Pt. A The Freestanding Ambulatory Surgery Center 1
Pt. B The Hospital Ambulatory Surgery Center 7
Pt. C The Physician-Owned Ambulatory Surgery Center for Colon
and Rectal Surgery 13
Pt. D The Colonoscopy Suite in the Ambulatory Surgery Center 17
Ch. 2 Anesthesia in Ambulatory Anorectal Surgery 29
Ch. 3 Selection, Preoperative Assessment, and Education of the
Patient for Ambulatory Surgery 37
Ch. 4 Positioning the Patient for Anorectal Surgical Procedures
46
Pt. A The Prone Jack-Knife Position: The Gold Standard 46
Pt. B The Dorsal Lithotomy Position: Preferred by Surgeon and
Anesthesiologist 51
Pt. C The Left Lateral Decubitus (Sims`) Position: The Middle
Position 56
Ch. 5 Postoperative Management 59
Ch. 6 Management of Pain After Anorectal Surgery 63
Pt. A Postoperative Pain Management 63
Pt. B Innovative Approaches to Pain Management 67
Ch. 7 Prevention of Urinary Retention After Anorectal Surgery 72
Ch. 8 Hemorrhoidectomy 81
Pt. A Open Surgical Hemorrhoidectomy 81
Pt. B Closed Hemorrhoidectomy 89
Ch. 9 Anal Fissure 95
Ch. 10 Anorectal Abscess and Fistula-in-Ano 107
Ch. 11 Management of Rectovaginal Fistulae 130

Ch. 13 Rectal Prolapse and Rectocele 161
Ch. 14 Colonoscopy 173
Ch. 15 Local Treatment of Rectal Cancer 187
Ch. 16 Coding and Billing for Colon and Rectal Surgery 204
Ch. 17 Ambulatory Anorectal Surgery in Australia 210
Index 213