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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Standard Precaution01:26

Standard Precaution

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Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

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Related Experiment Video

Updated: Jun 20, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Use less, waste less: Rethinking consumable use in proctology.

Matthew P Irwin1,2

  • 1School of Medicine, The University of Sydney, Sydney, Australia.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 19, 2026
PubMed
Summary
This summary is machine-generated.

This study suggests reducing routine sterile supplies in proctology, focusing on opening items only when needed. This approach aims for low-waste surgery without compromising infection prevention in benign anorectal procedures.

Keywords:
carbon footprintmedical wasteoperating roomsproctologysource reduction

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Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
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Last Updated: Jun 20, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

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Published on: September 21, 2015

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
05:35

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance

Published on: June 6, 2025

Area of Science:

  • Surgical Innovation
  • Waste Reduction in Healthcare
  • Infection Prevention Strategies

Background:

  • Proctology procedures are material-intensive despite being short and common.
  • The surgical site in proctology (distal gut) is inherently contaminated with bacteria, making complete sterility unattainable.
  • Routine sterile set-up in proctology is contestable due to the non-sterile nature of the surgical field.

Purpose of the Study:

  • To advocate for a disciplined, indication-based approach to benign anorectal surgery.
  • To challenge the necessity of routine sterile consumables when the surgical field is already contaminated.
  • To propose a low-waste surgery model for proctology.

Main Methods:

  • Evaluating the necessity of routine sterile drapes and consumables.
  • Suggesting the use of clean, non-sterile protective equipment for proceduralists where appropriate.
  • Recommending opening suction and diathermy only when required, rather than routinely.
  • Maintaining standard protocols for instrument sterility, aseptic handling, skin preparation, sharps safety, and antibiotic prophylaxis.

Main Results:

  • Routine sterile consumables are not always necessary in proctology due to the contaminated surgical site.
  • A reduction in opened sterile items can be achieved by opening them on demand.
  • Selected cases may still require a conventional sterile set-up for infection prevention.

Conclusions:

  • Proctology can serve as a model for low-waste surgery by minimizing routine sterile supply use.
  • An indication-based approach, opening items on demand, and true material recovery are key to reducing waste.
  • Infection prevention principles should guide decisions, but habit should not dictate the use of unnecessary sterile consumables.