Read e-book online Ambulatory Colorectal Surgery PDF

By Laurence R. Sands, Dana R. Sands

ISBN-10: 0824727924

ISBN-13: 9780824727925

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

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

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Additional resources for Ambulatory Colorectal Surgery

Sample text

They pass laterally, forwards, and upwards to join the sympathetic hypogastric nerves at the pelvic plexus. From the pelvic plexus, combined postganglionic parasympathetic and sympathetic fibers are distributed to the upper rectum and left colon, via inferior mesenteric plexus, and to the lower rectum and upper anal canal. The periprostatic plexus, a subdivision of the pelvic plexus situated on the Denonvilliers’fascia, supplies the prostate, seminal vesicles, corpora cavernosa, vas deferens, urethra, ejaculatory ducts, and bulbourethral glands.

The physician with a comprehensive understanding of anorectal physiology and the available diagnostic modalities will be able to offer relief to many patients with an accurate diagnosis and appropriate therapeutic recommendations. Determination of the etiology of constipation, fecal incontinence, rectal prolapse, and anorectal pain can be facilitated in the anorectal physiology laboratory. Often, the cause of functional disorders is multifactorial. Physiologic testing after a careful history and physical examination can provide the physician with the needed insight to offer the most effective treatment regimen.

Percy JP, Swash M, Neill ME, et al. Electrophysiological study of motor nerve supply of pelvic floor. Lancet 1981; 1:16–17. 30. Russell KP. Anatomy of the pelvic floor, rectum and anal canal. In: Smith LE. Practical guide to anorectal testing. , 1991:744–747. 31. Ayoub SF. Arterial supply of the human rectum. Acta Anat 1978; 100:317–327. 32. Didio LJA, Diaz-Franco C, Schemainda R, et al. Morphology of the middle rectal arteries: A study of 30 cadaveric dissections. Surg Radiol Anat 1986; 8:229–236.

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


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