What equipment is required for thrombosed external hemorrhoid excision?

Updated: Aug 17, 2018
  • Author: Brett Wallace Lorber, MD, MPH, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

Equipment required for the procedure includes the following:

  • Direct dedicated lighting
  • Sterile gloves
  • Antiseptic solution with skin swabs
  • Sterile drape
  • Local anesthetic solution (0.5% bupivacaine or 1% lidocaine with epinephrine)
  • Syringe, 5 mL
  • Needles, 18-gauge and 25- or 27-gauge
  • Small forceps for grasping tissue
  • Iris scissors to cut tissue or packing gauze
  • Scalpel blade on a handle, No. 11 or No. 15
  • Multiple gauze squares, 4- × 4-in.
  • Adhesive tape, 2-in.
  • Absorbable suture, 3-0
  • Sterile packing gauze, 0.25-in.
  • Sterile dressing

It is important to have the equipment required for rescue techniques (eg, suturing equipment, silver nitrate) available at the bedside, in case bleeding occurs that is not controlled by direct pressure.


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