Download e-book for kindle: Ambulatory Colorectal Surgery by Laurence R. Sands, Dana R. Sands

By Laurence R. Sands, Dana R. Sands

ISBN-10: 0824727924

ISBN-13: 9780824727925

A nice single-source reference encompassing all facets of colorectal surgical procedure, Ambulatory Colorectal Surgery covers topics:

  • patient evaluation
  • anorectal anatomy
  • anorectal ultrasound
  • biofeedback techniques
  • fecal incontinence assessment and management
  • wound management
  • stoma management
  • pain management
  • anal fissure
  • anorectal abscess
  • proctalgia fugax

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Extra resources for Ambulatory Colorectal Surgery

Example text

The internal rectal plexus is situated submucosally around the upper anal canal, above the dentate line. The internal hemorrhoids originate from this plexus. The perirectal or perimuscular rectal plexus drains to the middle and inferior rectal veins. LYMPHATIC DRAINAGE The lymphatic drainage of the large intestine, similar to the venous drainage, basically follows its arterial supply. The lymph nodes in the rectum, however, are particularly more numerous as compared to the other parts of the large bowel.

These are plastic or sponge plugs that consist of two longitudinal or circular electrodes mounted on their surfaces. The former is considered superior since longitudinal electrodes correlate better with fine-wire electrodes (44,51). Although surface plugs can be easily inserted inside the anal canal and hence are much more tolerable by the patients, they provide only generalized information about the sphincter. It has been shown that surface electrodes have good correlation with concentric needle electrodes in the diagnosis of paradoxical anal sphincter contractions.

Invest Urol 1976; 13:271–277. 22. Lawson JON. Pelvic anatomy II. Anal canal and associated sphincters. Ann R Coll Surg Engl 1974; 54:288–300. 23. Roux C. Contribution to the knowledge of the anal muscles in man. Arch MikrAnat 1881; 19:721–723. 24. Courtney H. Anatomy of the pelvic diaphragm and anorectal musculature as related to sphincter preservation in anorectal surgery. Am J Surg 1950; 79:155–173. 25. Goligher JC, Leacock AG, Brossy JJ. The surgical anatomy of the anal canal. Br J Surg 1955; 43:51–61.

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Ambulatory Colorectal Surgery by Laurence R. Sands, Dana R. Sands


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