A Surgeon's Clinical Manual of Anorectal DiseaseDr. O. P. Bhandari
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Appendix B

Glossary of Abbreviations

This glossary lists every abbreviation used in this manual, in alphabetical order. It is built as a running list, and updated each time a new chapter introduces a new term.

AIN โ€” Anal Intraepithelial Neoplasia โ€” a precancerous change linked to high-risk HPV infection, described in Chapter 24

CT โ€” Computed Tomography โ€” used for urgent imaging when intra-abdominal or pelvic injury is suspected, described in Chapter 23

DRE โ€” Digital Rectal Examination

EAS โ€” External Anal Sphincter

GSP-SPCI โ€” Global Science Portal for Surgical, Procedural and Clinical Innovations โ€” the open-access journal founded by the author, referenced in this manual as the intended home for dedicated case reports arising from its techniques

GTN โ€” Glyceryl Trinitrate โ€” a topical ointment used to relax the internal sphincter in the chemical treatment of fissure-in-ano

HIV โ€” Human Immunodeficiency Virus โ€” post-exposure prophylaxis is considered after sexual assault, described in Chapter 23

HPV โ€” Human Papillomavirus โ€” causes condylomata acuminata (anal warts); high-risk types are linked to anal intraepithelial neoplasia, described in Chapter 24

HSV โ€” Herpes Simplex Virus โ€” causes herpes proctitis, described in Chapter 24

IAS โ€” Internal Anal Sphincter

LGV โ€” Lymphogranuloma Venereum โ€” a severe form of chlamydial proctitis needing a longer treatment course, described in Chapter 24

LIFT โ€” Ligation of the Intersphincteric Fistula Tract โ€” a sphincter-preserving surgical technique for fistula-in-ano

MRI โ€” Magnetic Resonance Imaging โ€” used for fistulogram, defecography, and other complex anorectal imaging throughout this manual

NAAT โ€” Nucleic Acid Amplification Testing โ€” the standard diagnostic swab test for gonorrhoea and chlamydia, described in Chapter 24

OASI โ€” Obstetric Anal Sphincter Injury โ€” a tear of the anal sphincter complex occurring during vaginal delivery, graded by degree (1st-4th); described fully in Chapter 21

OPB-BIG โ€” Bhandari's Index-Guided (BIG) Vessel-Sealer Haemorrhoidectomy โ€” the author's technique for giant haemorrhoids, using a vessel-sealing energy device with the surgeon's index finger placed in the anal canal to guide and protect the dissection

OPB Grading of Anal Canal Stenosis โ€” the author's own grading system for anal canal narrowing, of any cause, assessed under spinal anaesthesia or general anaesthesia with muscle relaxants, using calibrated anal dilators

OPB-MOLIS (MOLIS) โ€” Modified Open Lateral Internal Sphincterotomy โ€” Dr. O. P. Bhandari's own technique, named after him, and commonly shortened to MOLIS in the text

PCR โ€” Polymerase Chain Reaction โ€” used to confirm herpes simplex virus infection from a viral swab, described in Chapter 24

STARR โ€” Stapled Trans-Anal Rectal Resection โ€” a stapled procedure for rectocele and coexisting intussusception, described in Chapter 16

STI โ€” Sexually Transmitted Infection โ€” screening and prophylaxis discussed in Chapters 23 and 24