Proctologic surgery in ambulatory care

: The principles for operations in the outpatient department are similar for proctology and general surgery. The trained and experienced surgeon is able to perform operations above the pectinate line, for example, polyps, prolapsing tumors etc. without stretching the anal sphincters and without anaesthesia being necessary. Below the dentate line local anaesthesia is sufficient for operative treatment of the following diseases: perianal thromboses, tumors of the skin and the connective tissue, skin tags, second degree hemorrhoids, segmental anal prolapses, anal fissures, cryptitis, uncomplicated anal fistulas and perianal abscesses. The postoperative treatment follows the rules of healing by second intention.