Anal Examination Under Anesthesia with Abscess Drainage and Evaluation for Fistula5351 viewsJennifer Shearer, MD; Brooke Gurland, MD, FACS Stanford University School of MedicineGeneral SurgeryMain TextProcedure OutlineTranscriptProcedure OutlineTable of Contents1. Introduction2. Surgical Approach3. Incision and Drainage of Abscess4. Anal Examination and Evaluation for Fistula5. Hemostasis, Final Inspection, and Counter Incision6. Pezzer Drain Placement7. Summary8. Post-op Remarks1. Introduction2. Surgical ApproachPre-op ExamPudendal Nerve BlockInject More Local Anesthetic3. Incision and Drainage of Abscess4. Anal Examination and Evaluation for FistulaClean Cavity5. Hemostasis, Final Inspection, and Counter Incision6. Pezzer Drain Placement7. Summary8. Post-op Remarks