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This is a small channel that develops between the end of the bowel (rectum or anal canal) and the skin near the anus (“back passage”), frequently after a perianal abscess that didn’t completely heal. Anal fistulae can be painful and frequently bleed or leak cloudy fluid when you go to the toilet. Surgery is commonly required in these cases.
Anal fissures are tears on the lining of the anus, usually associated with constipation or episodes of severe diarrhoea. If it becomes chronic, it can be painful and bleed profusely. A range of treatments are available (conservative treatment with ointments, botulin toxin injection or lateral sphinterotomy). Either of these improve the blood supply to the fissure, thereby aiding healing.
For patients with symptomatic gallstones, it is recommended that the gallbladder is removed surgically, usually via keyhole surgery. This is often performed as a day case.
There are various surgical treatments for haemorrhoids (piles), depending on the patient’s particular condition. Rubber band ligation, haemorrhoidal artery ligation and haemorrhoidectomy are some options.
This is where an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. Hernias can occur anywhere in your abdomen, and there are a number of different types – inguinal, femoral, umbilical, incisional and abdominal.
An inguinal or groin hernia is common and occurs mainly, but not only, in men. Fatty tissue or a part of the bowel pokes through a weak spot in the abdominal wall into the inguinal canal, through which blood vessels pass to the testicles. Surgery pushes the bulge back into place and strengthens the abdominal wall. Either keyhole or open surgery can be performed in these cases
A femoral hernia, also a form of groin hernia, is when fatty tissue or part of your bowel pokes through a weak spot in the abdominal wall into the femoral canal, through which blood vessels pass to and from your leg. During surgery, again, the bulge is pushed back into place, and the abdominal wall is strengthened. Either keyhole or open surgery can be performed in these cases.
These hernias appear on scars from previous operation and most of the times cause few symptoms. When an operation is needed, it often requires that you’re admitted to hospital for a few days after the procedure.
If a hernia reoccurs it can be more difficult to repair due to scarring from the original surgery. Either keyhole or open surgery (eventually reopening the old scar) might be used in these cases.
Umbilical hernias are common in adults and result from a weakness in the umbilicus (“belly button”) and usually cause few symptoms. If they become painful or cause problems with activities of daily living, they can be simply repaired surgically.
A procedure involving the surgical removal of small skin cysts or lesions. These are usually performed under local anaesthetic, although in some cases general anaesthetic can be recommended. These procedures require that your GP secures funding prior to referral and treatment.
Pilonidal sinus surgery
A pilonidal sinus is a cystic lesion under the skin, showing with a small hole in the skin, usually at the top of the cleft of the buttocks, where they separate. It can become infected, in which case it often warrants an urgent operation. If it is recurrently infected or, it becomes symptomatic, it may benefit from elective excision.
Varicose vein stripping
If varicose veins become painful and problematic you may opt to have them treated surgically. Ligation and stripping is a common treatment carried out under general anaesthetic, whereby the affected veins in the leg are tied off and removed. These procedures may require that your GP secures funding prior to referral and treatment.
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