Rectal Procedure Set-up.
Top
Probe & Groove used in fistula cases. The probe is inserted into the fistula tract to see the direction & depth of the tract before either excision or placement of Seton stitch (a procedure where a vessel loop or something of that nature is passed through the fistula end to end & then secured together. This is done to keep the fistula open & draining during wound healing)
Bottom
Anoscope used to visualize the anus & few inches into rectum. Used mainly hemorrhoid procedures.
Left to Right
– Hill-Ferguson Rectal Retractors x 3 (small, medium, large) used the same as the Anoscope (see description in previous photo)
– Rosser Crypt Hook used in anal fistula procedures. Hook is inserted into anal crypt & identifies the fistula tract
– Barr Probe used the same as the probe from the Probe & Groove (see description in previous photo)
Rigid Sigmoidoscope
Used to visualize the anus, rectum, & lower sigmoid colon. Sometimes used in conjunction with rectal procedures to see further up the bowel for abnormalities. If there is a concern, a biopsy can be taken w/ the biopsy foceps (pictured above as well as a suction tip)
