The nature of the problem determines what special tests may be necessary before anorectal surgery. For example, ultrasound may be utilized to determine if there is anatomic sphincter damage in patients complaining of incontinence. Colonic transit studies may be useful for documenting abnormal motility in those who complain of constipation. Routine preoperative lab work such as complete blood count (CBC), chest X-ray and electrocardiogram (EKG) may be necessary.
James G. Allen, DO
Location and Office HoursButler Memorial Hospital Anesthesiology
911 E Brady
Butler, PA 16001
- What tests are done before anorectal surgery?
How are the surgical instruments disinfected prior to surgery?
Stuart Linder, MD, Plastic/reconstructive Surgery, answeredThe sterilization or disinfection of surgical instruments involves multiple processes. The steps include pre-cleaning, cleaning, inspection, packaging, wrapping, autoclaving and maintainance of the autoclave. First the pre-cleaning involves wiping instruments off with cloth or enzymatic cleaner. Next, cleaning involves scrubbing instruments with enzymatic cleaner and rinsed. After inspection, each instrument is wrapped and autoclaved with steam indicator inserted into the package. Packages are secured with steam indicator and dates labeled. A autoclave log is maintained of the details of each run.
How long after spine surgery will the numbness go away?
Nomaan Ashraf, MD, Orthopedic Surgery, answeredNumbness after spine surgery takes longer to resolve as compared to the resolution of pain or weakness after spine surgery. Time to resolution of numbness after spine surgery also is impacted by how long the numbness was present before surgery and may take several months if it was present for a long time before surgery.
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