A Surgeon's Clinical Manual of Anorectal DiseaseDr. O. P. Bhandari
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A Surgeon's Clinical Manual of Anorectal Disease — book cover
A Clinical Manual

A Surgeon's Clinical Manual
of Anorectal Disease

History, Examination, and Management

❧

Dr. Om Prakash Bhandari

MS, MRSH (London), FAIS

Consultant Surgeon & Director, Dr. Bhandari Piles Hospital
Professor of Surgery
Chittorgarh, Rajasthan, India

Foreword by Dr. S. S. Agarwal

Revised First Edition, 2026 • ISBN 978-93-344-8106-8

Published by Dr. Om Prakash Bhandari, Chittorgarh, Rajasthan, India

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Licensed under CC BY-NC-ND 4.0.

In this revised edition

Table of Contents

Front Matter

  1. What Colleagues Say
  2. Title Page and Copyright
  3. Foreword
  4. Preface

Chapters

  1. 1Applied Anatomy and Physiology of the Anorectum
  2. 2History-Taking in Anorectal Disease
  3. 3Clinical Examination — General Approach
  4. 4Inspection
  5. 5Palpation and Digital Rectal Examination (DRE)
  6. 6Proctoscopy and Sigmoidoscopy
  7. 7Formulating a Provisional Diagnosis
  8. 8Relevant Investigations
  9. 9Arriving at a Final Diagnosis and Treatment Planning
  10. 10Haemorrhoids (Piles)
  11. 11Fissure-in-Ano
  12. 12Fistula-in-Ano
  13. 13Perianal and Perirectal Abscess
  14. 14Rectal Prolapse
  15. 15Rectal Intussusception
  16. 16Obstructed Defecation Syndrome (ODS)
  17. 17Retroverted Uterus and Its Relation to Obstructed Defecation
  18. 18Anal Stenosis
  19. 19Pilonidal Sinus Disease
  20. 20Anal Incontinence
  21. 21Obstetric Anal Sphincter Injury (OASI) — Fourth-Degree Perineal Tear with Cloaca Formation
  22. 22Complete Anal Sphincter Complex Tear — Secondary Repair
  23. 23Anorectal Trauma from Sexual Assault
  24. 24Sexually Transmitted Diseases and Condylomatous Conditions with Anorectal Manifestations
  25. 25Pruritus Ani
  26. 26Anorectal Malignancy — Clinical Approach
  27. 27Anorectal Trauma and Foreign Bodies
  28. 28Anorectal Manifestations of Systemic and Inflammatory Bowel Disease
  29. 29OPB-MOLIS: Technique, Indications, and Outcomes
  30. 30Special Applications — Bilateral and Contralateral MOLIS

Appendices

  1. AQuick-Reference Diagnostic Algorithms
  2. BGlossary of Abbreviations
  3. CSample Case Sheets and Examination Proformas
  4. DClinical Vignette Questions for MS and MCh Entrance Examinations
  5. EOperation Protocol — The WHO Surgical Safety Checklist

Back Matter

  1. Bibliography
  2. About the Author
  3. Companion Operative Videos