FISSURE IN ANO- How To DIAGNOSE & TREAT/ Lower GI Hemorrhage

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  • čas přidán 22. 04. 2017
  • FISSURE-IN-ANO - Lower GI Hemorrhage
    #surgicaleducator #lowergihemorrhage #fissureinano #usmle #babysurgeon #surgicaltutor
    Subscription Link: czcams.com/users/surgicaleducator...
    Surgical Educator Android App link: play.google.com/store/apps/de...
    Dear Viewers,
    Greetings from “Surgical Educator”
    Today in this episode, I have talked about yet another cause for lower GI haemorrhage- “Fissure-in-Ano”. Unlike other causes of lower GI haemorrhage, fissure-in-ano present with painful bleeding per rectum. I am talking on etiology, types, clinical features and treatment of fissure-in-ano. I have also included a mind map, a diagnostic algorithm and a treatment algorithm. You can watch this video in the following links:
    surgicaleducator.blogspot.com
    / surgicaleducator
    Thank you for watching the video.
    All my videos are problem based, because patients are coming to us with problems and not with diagnosis. I have made a playlist for each surgical problem which consist of many videos. I request you all to watch all the videos in the playlist together so that you will become confident in dealing with these problems.
    Links to the Playlists based on Surgical Problems:
    1. Scrotal Swellings: • SCROTAL SWELLINGS TUTO...
    2. Groin Swellings: • GROIN SWELLINGS TUTORIAL
    3. Abdominal Pain: • ABDOMINAL PAIN - Case ...
    4. Obstructive Jaundice: • OBSTRUCTIVE JAUNDICE T...
    5. Upper GI Hemorrhage: • UPPER GI HEMORRHAGE TU...
    6. Lower GI Hemorrhage: • LOWER GI HEMORRHAGE- T...
    7. Thyroid Pathologies: • THYROID PATHOLOGIES- T...
    8. Breast Pathologies: • BREAST PATHOLOGIES- TU...
    9. Peripheral Arterial Diseases: • PERIPHERAL ARTERIAL DI...
    10 . Venous Diseases: • VENOUS DISEASES TUTORIAL
    11. Dysphagia: • DYSPHAGIA TUTORIAL
    12. Trauma: • TRAUMA TUTORIAL
    13. Operative Surgery: • OPERATIVE SURGERY- STE...
    14. Pediatric Surgery: • PEDIATRIC SURGERY TUTO...
    15. Urology: • UROLOGY TUTORIAL- Hema...
    You can follow me in the following links:
    1. Blog: surgicaleducator.blogspot.com/
    2. FB fan page: / surgicaltutor
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    4. Google+: plus.google.com/+SurgicalEduc...
    5. Twitter: / 51f6facd9089455
    6. Facebook: / selvaraj.balasubramani.7
    7. Slideshare: www.slideshare.net/babysurgeon
    Thank you very much for following and supporting this surgery teaching CZcams channel.
    Disclaimer:
     All my videos in this channel are not replacement for standard text books or a formal undergraduate or postgraduate course in a medical school. These are only supplements to your formal course.
     Nobody should start doing surgery after watching these videos. You should undergo training under a master surgeon before embarking on real surgery in a live patient.

Komentáře • 65

  • @farajanaketo7402
    @farajanaketo7402 Před 4 lety +2

    Sending love and gratitude all the way from Tanzania.....sir your videos are great....blessings

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      Thank you for your appreciation. Best wishes.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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    • @nafiznasser968
      @nafiznasser968 Před 3 lety

      Habari gani ?

  • @vanirampersad794
    @vanirampersad794 Před 3 lety

    great video thanks sir!

    • @SurgicalEducator
      @SurgicalEducator  Před 3 lety

      Thank you for your appreciation
      Kindly download the Android app for this CZcams channel Surgical Educator from
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  • @darshanmishra1666
    @darshanmishra1666 Před rokem

    Superb lecture Sir

  • @jahnavisaisuchita5838
    @jahnavisaisuchita5838 Před 4 lety

    Good lectures sir. Great doctor

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      Thank you for your appreciation.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @naveen3962
    @naveen3962 Před 6 lety

    thank you sir

  • @francinewintzmbbs4977
    @francinewintzmbbs4977 Před 3 lety

    Thank you! 😩

    • @SurgicalEducator
      @SurgicalEducator  Před 3 lety

      Thank you for your appreciation
      Kindly download the Android app for this CZcams channel Surgical Educator from
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  • @medicalmcq9798
    @medicalmcq9798 Před 6 lety

    Very nice lecture

    • @SurgicalEducator
      @SurgicalEducator  Před 6 lety

      Thank you.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @tariqhassan7306
    @tariqhassan7306 Před 6 lety

    Thank u sir.

    • @SurgicalEducator
      @SurgicalEducator  Před 6 lety

      You are welcome

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      Thank you
      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @tarunraj669
    @tarunraj669 Před 2 lety

    Sir what about closed LIS is there more reoccurance chances the open LIS?

    • @SurgicalEducator
      @SurgicalEducator  Před 2 lety

      Closed lateral internal sphincterotomy is the treatment of choice for chronic fissures as it is effective, safe, less expensive, and associated with a lower rate of complications than the open sphincterotomy technique.

  • @vidhivpatel2051
    @vidhivpatel2051 Před 7 lety

    Why sphincterotomy is done in a fissure case?

    • @SurgicalEducator
      @SurgicalEducator  Před 7 lety +3

      Priyanka v patel To relieve the sustained sphincteric contraction. But you have to cut only internal sphincter

  • @temporarylife21
    @temporarylife21 Před 4 lety

    What about laser spinterotomy.is it better then conventional.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety +1

      Laser therapy of chronic anal fissure is a simple, non-invasive and painless surgical procedure with a low rate of complications. It can be viewed as an effective treatment for patients with anal fissure. However, this procedure has some limitations.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @jeevanpandey4057
    @jeevanpandey4057 Před 4 lety

    HOW I CAN GET INSTRUMENTS SHOWN BY YOU. NAME OF INSTRUMENT HOW I CAN BY IN INDIA AT DELHI.

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      Sorry you have to contact Surgery instrument manufacturers

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @sunilbabu8091
    @sunilbabu8091 Před 4 lety

    Good

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      Thank you

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @vidhivpatel2051
    @vidhivpatel2051 Před 7 lety

    Thank you sir. Why most of the time location is posterior midline?

    • @SurgicalEducator
      @SurgicalEducator  Před 7 lety +3

      Priyanka v patel Because of curvature of rectum and anus, if patient is straining to pass stool in constipation, the posterior midline only bear the brunt of this increased pressure and get torn

    • @vidhivpatel2051
      @vidhivpatel2051 Před 7 lety

      Thank you sir

    • @theviewtubers6970
      @theviewtubers6970 Před 6 lety

      sir while showing the flowcharts....the quality isnt that clear what should have been.....And thanku so much for such a great effort...😊

    • @SurgicalEducator
      @SurgicalEducator  Před 6 lety +1

      Brajmohan Gurjar Thank you for your appreciation. You can watch the ppt slides for this video from SlideShare.net/baby Surgeon for more clarity.

    • @SurgicalEducator
      @SurgicalEducator  Před 6 lety

      Priyanka v patel The root cause for fissure is constipation. The part which is taking the whole brunt while a person is straining to pass stool is the posterior midline area of anal opening and that is why fissure is common there.

  • @priyanavarathnam6184
    @priyanavarathnam6184 Před 2 lety

    Sir ennaku chronic fissure operation panni one month agutu but ennaku marupadium fissure varuma pls reply sir

    • @SurgicalEducator
      @SurgicalEducator  Před 2 lety

      சரியாக ஆபரேசன் செய்திருந்தால் திரும்ப வராது். ஆனால் நீங்கள் மலசிக்கல் இல்லாமல் பார்த்து கொள்ள வேண்டும். பூரண நலமடைய வாழ்த்துக்கள்.

  • @PRABHATKUMAR-kg7zb
    @PRABHATKUMAR-kg7zb Před 3 lety

    What medicine of chronic fissure and fustula

    • @SurgicalEducator
      @SurgicalEducator  Před 3 lety

      If it's chronic fissure I do sphincterotomy

    • @seyedbacker9812
      @seyedbacker9812 Před 3 lety

      PLS YOU TAKE SIT BATH HOT WATER TWO THREE TIMES 😄😄😄😄😄😄😄😄😄😄😄😄😄😄😄😄😃😃😄😄

  • @anjalineerati6666
    @anjalineerati6666 Před 4 lety

    Sir is fecal incontinence occur after surgery??

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      If you cut only internal sphincter no problem but if you cut external sphincter then incontinence happen

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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  • @nafiznasser968
    @nafiznasser968 Před 3 lety

    Sir, what about anal dilatation and fissurectomy ? Some fissures only cause spasm without pain or bleeding.

    • @SurgicalEducator
      @SurgicalEducator  Před 3 lety

      Thank you for your appreciation
      Kindly download the Android app for this CZcams channel Surgical Educator from
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      Kindly give your ratings and review

    • @SurgicalEducator
      @SurgicalEducator  Před 3 lety

      Lord's dilatation don't do for fear of anal incontinence

    • @nafiznasser968
      @nafiznasser968 Před 3 lety

      @@SurgicalEducator what about fissurectomy - removal of skin so new tissue grows and heals ?

  • @Princess-cl6tp
    @Princess-cl6tp Před 2 lety

    Sir does chronic fissure with anal tags heal by its own or not ?

    • @SurgicalEducator
      @SurgicalEducator  Před 2 lety

      Usually not you have to excise the skin tags apart from doing lateral sphincterotomy

    • @Princess-cl6tp
      @Princess-cl6tp Před 2 lety

      @@SurgicalEducator and is there any drawback for not excising it

  • @seyedbacker9812
    @seyedbacker9812 Před 3 lety

    MOST OF DOCTOR NOT RECOMMENDED OPERATION😄😄😃😂😂😁😁SIR MORE TENSION..
    I MET TWO TIMES THE DOCTOR ..AND I RECOMMENDED HIM OPERATION OR LASER..BUT REFUSED .😷😷😷😷pls ur advise 😣😣😣

  • @nareshbodhankar5180
    @nareshbodhankar5180 Před 4 lety

    Thank you sir

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You are welcome

    • @SurgicalEducator
      @SurgicalEducator  Před 4 lety

      You can use this link to download the play store Android app for this channel. Kindly give your ratings and review in Playstore app
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