Verfügbarkeit: Surgical management of anorectal and colonic diseases

Surgical management of anorectal and colonic diseases: with 100 tables

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Bibliographische Detailangaben
Format:	Buch
Sprache:	English
Veröffentlicht:	Berlin [u.a.] Springer 1998
Ausgabe:	2. ed.
Schlagworte:	Colonkrankheit Anorektale Krankheit Chirurgie
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	1. Aufl. u.d.T.: Surgery of anorectal diseases
Beschreibung:	XXXI, 464 S. Ill.
ISBN:	3540636218

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Datensatz im Suchindex

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adam_text	Contents Section I General Approach Chapter 1 Surgical Anatomy of the Rectum, Anal Canal, Perineum, and Colon 3 A. HUBER Colon 10 Topographical Anatomy 10 Blood Supply 10 Arteries 12 Veins 12 Innervation 12 Parasympathetic Innervation 12 Sympathetic Innervation 13 Lymph Drainage 13 References 13 Chapter 2 Colo Recto Anal Physiology 15 M. C. Marti Absorption and Secretion 15 Digestion 16 Motility 16 Continence and Evacuation 17 References 18 Chapter 3 Symptoms and History Taking 19 J. C. GlVEL Introduction 19 Bleeding 19 Pruritus Ani 20 Pain 21 Discharge 22 Incontinence 23 Diarrhea 24 Constipation 24 False Need to Defecate 25 VIII Contents Conclusion 25 References 26 Chapter 4 Proctological Examination 27 J. C GlVEL Introduction 27 Medical History 27 General Examination 27 Regional Examination 27 Position of the Patient 27 Inspection and Palpation 28 Digital Examination 30 Endoscopy 31 Complementary Examinations 33 Specific Conditions 33 Bleeding 33 Pruritus Ani 33 Pain 33 Incontinence , 34 References 34 Chapter 5 Lower Gastrointestinal Endoscopy 35 P.H. Wiesel, J. Hess, and G. Dorta Indications and Contraindications 35 Diagnostic Colonoscopy 35 Therapeutic Colonoscopy 35 Preparation and Management of Patients 36 Bowel Preparation 36 Preparation Under Normal Circumstances 36 Preparation Under Special Circumstances 36 Sedation 36 Antibiotics 37 Antispasmodics 38 Complications of Lower Endoscopy 38 Complications 38 Management of Complications 39 Prevention of Complications 39 Conclusion 41 References 41 Chapter 6 Biopsies and Operation Specimens of the Colon and Anorectal Region . 45 F.T. Bosman and E.P. Saraga Introduction 45 Specimen Handling 45 Forceps Biopsies 45 Endoscopic Polypectomy 45 Resection Specimens 45 Contents IX Diseases of the Colorectum 46 Non neoplastic Diseases 46 Vascular Disorders 46 Inflammatory Disorders 46 Adenomas and Carcinomas 50 Epidemiology 50 Etiology 50 Biopsy Specimens of Large Polypoid Lesions 51 Endoscopic Resection Specimens 51 Resection Specimens 53 Diseases of the Anus 54 Non neoplastic Diseases 54 Neoplastic Diseases 55 Surface Epithelial Carcinoma 55 Melanoma 55 References 55 Chapter 7 Radiological Investigations 59 D. MlRESCU AND F. SADRY Introduction 59 Normal Radiological Anatomy 59 Imaging of Anorectal Disease 59 Chest Radiograph 59 Plain Abdominal Film Series 60 Barium Enema 60 Preparation and Contraindications 60 Single Contrast Barium Enema 60 Double Contrast Barium Enema 60 Barium Enema Versus Endoscopy 60 Hydrosoluble Agents 62 Computerized Tomodensitometry 62 Magnetic Resonance Imaging 64 Ultrasonography 65 Transabdominal Approach 65 Endorectal Approach 65 Angiography 65 Fistulography 65 Intravenous Urography 66 Defecography 66 References 68 Chapter 8 Endorectal and Anal Sonography 71 B. Roche Introduction 71 General Remarks 71 Technique of Endorectal Ultrasonography 71 Image Interpretation 71 Endorectal Ultrasonography 71 Normal Image 71 X Contents Preoperative Staging of Rectal Neoplasm with Endorectal Ultrasonography 72 Assessment of Wall Invasion 72 Conclusion 74 Endoanal Ultrasonography 75 Normal Image 75 Obstetric Lesions 75 Post traumatic Incontinence 76 Postsurgical Incontinence 77 Anal Imperforation 77 Anal Ultrasonography in the Diagnosis and Management of Abscess and Fistula Disease of the Anorectum 77 Methodology 78 Results 79 Conclusions 79 Epidermoid Carcinoma of the Anus 80 Ultrasonographic Classification 80 External Perineal Sonography 80 Technique 80 Image 81 Results 81 Conclusion 82 References 82 Chapter 9 Anal Sphincter Manometry and Electromyography 85 H. Blessing Anal Sphincter Manometry 85 Indications 85 Technical Aspects 85 Catheter Characteristics 85 Methods of Pressure Recording 86 Patient Positioning and Timing of Manometry 87 Bioelectrical Activity of the Internal Anal Sphincter 87 Manometric Parameters 88 Length of the Anal Canal 88 Maximum Resting/Squeeze Pressure 88 Medium Anal Pressure 88 Rectoanal Reflex 88 Normal Values 88 Clinical Aspects 89 High Pressure Hemorrhoids and Anal Fissure 89 External Anal Sphincter Capacity 89 Electromyography 91 Electrical Sphincter Muscle Activity 91 Inappropriate Puborectal Contractions 91 Sphincter Mapping 91 Assessment of the Degree of Denervation 91 References 91 Contents XI Chapter 10 Microbiological Examinations 93 R. AUCKENTHALER Introduction 93 Clinical Considerations 93 Microbiological Considerations 93 Gonococcal Infections 93 Clinical Manifestations 93 Anorectal Infections 93 Microbiology 93 Specimens and Transport 94 Direct Examination 94 Culture 94 Nonculture Methods 94 Serology 94 Chlamydia 94 Clinical Manifestations 94 Anorectal Infections 95 Microbiology 95 Specimens and Transport 95 Direct Examination 95 Culture 95 Nonculture Methods 95 Serology 96 Syphilis 96 Clinical Manifestations 96 Anorectal Infections 96 Microbiology 96 Specimens and Transport 96 Direct Examination 96 Serology 96 Chancroid (Hemophilus ducreyi) 97 Clinical Manifestations 97 Microbiology 97 Specimens and Transport 97 Direct Examination 97 Culture 97 Serology 97 Herpes Simplex Virus 97 Clinical Manifestations 97 Anorectal Infections 97 Microbiology 97 Specimen and Transport 97 Direct Examination 97 Culture 97 Nonculture Methods 98 Serology 98 Condyloma Acuminatum 98 Clinical Manifestations 98 Microbiology 98 Specimen and Transport 98 Direct Examination 98 Serology 98 Candida 98 Clinical Manifestations 98 XII Contents Anorectal Manifestations 98 Microbiology 98 Specimens and Transport 99 Direct Examination 99 Culture 99 Serology 99 Enteric Diseases 99 Clinical Aspects 99 Specimens and Transport 99 Direct Examination 99 Culture 99 Serology 99 Diarrhea Related to Human Immunodeficiency Virus (HIV) Infections . 99 Clinical Manifestations 99 Microbiology 99 Specimens and Transport 100 Direct Examination 100 Culture 100 Serology 100 References 100 Chapter 11 Nutritional Care in Coloproctology 101 B. Armenian and C. Pichard Introduction 101 Pathophysiology 101 Uncomplicated Fasting 101 Metabolic Changes Due to Stress 101 Protein Calorie Malnutrition 101 Consequences 101 Evaluation of Patients 102 Nutritional Requirements 103 Energy Needs 103 Protein Needs 103 Gastrointestinal Disease and High Risk of Protein Calorie Malnutrition . . 104 Nutritional Problems in Specific Colorectal Pathologies 104 Crohns Disease 104 Ulcerative Colitis 105 Fistulas and Ileostomies 106 Diverticulitis 106 Nutritional Management of Colorectal Disease 106 Dietary Management 106 Enteral and Parenteral Nutrition Support 106 Conclusion 107 References 107 Chapter 12 Bowel Preparation 109 F. MOSIMANN Introduction 109 Nonspecific Measures 109 Mechanical Bowel Cleansing 109 Contents XIII Antibiotic Prophylaxis 110 Conclusion Ill References Ill Chapter 13 Positioning and Anesthesia for Anorectal Surgery 113 G. CUCCHIA, A. FORSTER, AND M. C. MARTI Positioning 113 Supine Position 113 Lithotomy Position for Abdominoperineal Excision 113 Prone Jackknife Position 114 Positioning for One Stage Abdominosacral Resection 114 Anesthesia 114 Local and Regional Anesthesia 115 Choice of Local Anesthetic Agents 115 Anesthetic Adjuvants 115 Systemic Toxicity of Local Anesthetics 116 Toxicity of Vasoactive Drugs 117 Technique of Local Anesthesia 118 Posterior Perineal Block 118 Caudal Block 118 Spinal Block 119 General Anesthesia 119 Urinary Retention 119 References 119 Section II Anal Diseases Chapter 14 Hemorrhoids 123 M. C. Marti Definition 123 Pathophysiology 123 Classification 124 Etiology and Predisposing Factors 124 Symptoms 125 Examination 125 Nonsurgical Treatment 125 Bowel Regulation 125 Topical Treatment 126 Sclerosing Injection Therapy 126 Infrared Coagulation 127 Rubber Band Ligation 128 Manual Dilatation of the Anus 129 Partial Internal Sphincterotomy 130 Cryosurgery 130 Proctotherm Therapy 130 Zeroid 131 XIV Contents Surgical Treatment 131 Principals and Preoperative Evaluation 131 Ligation and Excision 131 Semiopen, Semiclosed, and Closed Hemorrhoidectomy 133 Submucosal Hemorrhoidectomy 134 Postoperative Care 135 Complications of Operative Treatment 135 Hemorrhoids Occurring in Special Situations 137 Fistula 137 Pregnancy 137 Inflammatory Bowel Disease 138 Portal Hypertension 138 Leukemia and Lymphoma 138 Acquired Immunodeficiency Syndrome 138 Intestinal Bypass for Obesity 138 Management 138 Personal Viewpoint 139 References 139 Chapter 15 Anal Fissure 143 M. C. Marti Definition 143 Pathogenesis and Physiopathology 143 Epidemiology 144 Symptoms and Signs 144 Differential Diagnosis 144 Conservative Treatment 145 Anal Dilatation Under Anesthesia 145 Surgical Treatment 146 Classical Excision 146 Y V Anoplasty 146 Sphincterotomy 146 References 149 Chapter 16 Anorectal Abscesses and Fistulas 151 M. C. Marti Introduction 151 Abscesses 151 Etiology 151 Spread of Infection 152 Signs, Symptoms, and Diagnosis 153 Treatment of Anorectal Suppuration 153 Surgical Treatment 154 Postoperative Care After Abscess Drainage 156 Anal Fistula 157 Etiology 157 Signs and Symptoms 157 Examination 157 Classification 158 Surgical Treatment 158 Contents XV Postoperative Care After Fistulectomy 164 Results and Complications After Treatment of Anal Fistula 164 References 165 Chapter 17 Pilonidal Sinus 167 J.P. Deleaval Introduction 167 Definition 167 Pathogenesis 167 Epidemiology 167 Pathology 168 Clinical Presentation 168 Differential Diagnosis 168 Treatment 168 Conservative Treatment 168 Surgical Treatment 168 Choice of Treatment 169 Therapeutic Possibilities 169 Conclusion 170 References 170 Chapter 18 Pruritus Ani 171 B. Hammer Definition 171 Pathogenesis and Pathophysiology 171 Classification 171 Primary Pruritus Ani 171 Secondary Pruritus Ani 172 Evolution 172 Epidemiology 172 Etiology of Secondary Pruritus Ani 173 Clinical Features 173 Diagnostic Procedures 173 Conservative Treatment 174 Primary Pruritus Ani 174 Secondary Pruritus Ani 175 References 176 Chapter 19 Malignant Tumors of the Anal Canal and Anus 179 A. Roth and M C. Marti Definition 179 Incidence 179 Embryology and Anatomy 179 Anatomical Definition of the Anal Canal and Anal Margin 179 Pathology 179 Bowens Disease 179 Pagets Disease 180 XVI Contents Melanoma 180 Etiology and Associated Lesions 181 Clinical Manifestations and Diagnostic Procedures 181 Spread 182 Distant Metastases 182 Staging 182 Treatment Modalities 182 Initial Treatment 182 Local Excision 182 Abdominoperineal Excision 183 Radiotherapy 183 Chemoradiation 183 Secondary Treatment 185 Systemic Chemotherapy 185 Intra arterial Chemotherapy 185 Conclusions 186 References 186 Chapter 20 Anal Incontinence 191 M. C. Marti Definition 191 Pathogenesis and Physiology 191 Mechanisms of Continence and Defecation 191 Classification of Incontinence 192 Clinical Evaluation 192 Medical History 192 Digital Examination 192 Complementary Investigations 193 Conservative Treatment 193 Pharmacological Treatment 193 Physical Treatment 193 Surgical Treatment 194 Aims 194 Sphincter Reconstruction and Sphincteroplasty 194 Reduction of Anal Canal Diameter 195 Reinforcement of the Occlusion Mechanism 196 Muscular Grafts to Increase Muscular Mass 196 Restoration of the Anorectal Angle 200 Free Muscle Transplantation 200 Smooth Muscle Plasty 202 Artificial Sphincter Implantation 202 Colostomy 202 Management and Selection of Appropriate Treatment 202 References 203 Chapter 21 Essential Anorectal Pain or Idiopathic Perianal Pain 207 M. C. Marti Proctalgia Fugax 207 Coccygodynia 208 Anorectal Neuralgia 209 Contents XVII Psychalgia 209 Pudendal Nerve Compression 209 References 210 Chapter 22 Dermatological Anal Diseases 211 M.Harms Erythematous Dermatosis 211 Dermatitis (Eczema) 211 Erythrasma 213 Dermatophytic Infection (Ringworm, Tinea) 213 Psoriasis Vulgaris 214 Chronic Benign Familisl Pemphigus (Hailey Hailey Disease) 214 Dyskeratosis Follicularis (Darier's Disease) 214 Bowen's Disease 215 Paget's Disease 215 Acrodermatitis Enteropathica 215 Lichen Sclerosus et Atrophicans 215 Erosive and Ulcerous Dermatosis 215 Herpes Simplex 215 Behcet's Disease 216 Fixed Drug Eruption 216 Pemphigus Vulgaris 217 Crohn's Disease 217 Ulcers After Use of Suppositories 217 Decubitus Ulcer 217 Tuberculosis 218 Amebiasis 218 Tumerous, Vegetative and Fistulous Dermatosis 218 Condyloma Acuminatum 218 Bowenoid Papulosis 219 Pemphigus Vegetans 219 Acanthosis Nigricans 219 Carcinomas 219 Hidradenitis Suppurativa and Acne Tetrad 219 Actinomycosis 220 References 220 Chapter 23 Transanal Endoscopic Microsurgery 223 M. von Flue Perioperative Management and Technology 223 Preoperative Diagnosis 223 Preoperative Preparation 223 Endorectal Operation System 223 Technique 224 Postoperative Management 224 Morbidity 224 Rate of Recurrence 225 Application 226 Indications 226 XVIII Contents References 226 Chapter 24 Complications of Anal Surgery 229 P. Aeberhard Hemorrhoids 229 Surgery 229 Early Complications 229 Intermediate Complications 230 Late Complications 230 Nonoperative Treatment 231 Sclerotherapy 231 Rubber Band Ligation 231 Anorectal Abscess and Fistula 232 Incontinence 232 Incision and Drainage of an Abscess 232 Fistula 232 Recurrence 233 Recurrent Abscess 233 Recurrent Fistula 233 Surgical Treatment of Perianal Crohns Disease 233 Surgical Treatment of Rectovaginal Fistula 233 Chronic Anal Fissure 233 Manual Dilatation 234 Internal Sphincterotomy 234 Anal Stenosis 234 Stenosis as a Complication of Anal Surgical Procedures 234 Management Principles 234 Complications of Flap Anoplasty and Sphincterotomy 234 Anal Incontinence 235 Direct Sphincter Repair 235 Postanal Intersphincteric Repair 235 Muscle Transfer Operations 235 Prosthetic Anal Sphincter 235 Encirclement Procedures 235 Anterior Levator Plasty and External Sphincter Plication 236 Surgery for Rectal Prolapse 236 Abdominal Repair 236 Presacral Hemorrhage 236 Infection 236 Recurrence 236 Functional Disturbances 236 Perineal Repair 237 Perineal Rectosigmoidectomy (Altemeier Technique) 237 Delormes Operation 237 Rectocele Repair 237 Early Complications 238 Late Complications 238 Heal PouchAnal Anastomosis 238 Early Complications 238 Vascular Compromise 238 Hemorrhage 238 Pelvic Sepsis 238 Intestinal Obstruction 239 Contents XIX Late Complications 239 Fistula 239 Anastomotic Stricture 240 Incontinence 240 Coloanal and ColopouchAnal Anastomosis 240 Early Complications 240 Leakage 240 Rectovaginal Fistula 240 Urinary Retention 240 Late Complications 240 Stricture 240 Functional Disturbances 240 Local Tumor Recurrence 241 References 241 Section III Colorectal Conditions Chapter 25 Anorectal Crohns Disease 247 P. BUCHMANN Definition 247 Etiology 247 Classification 247 Epidemiology 249 Differential Diagnosis 250 Diagnostic Procedure 251 Treatment 251 Natural History 251 Treatment of Intestinal Inflammation 252 Medical Treatment 252 Surgery 253 Abscesses 253 Fistulas 254 Stricture 255 Incontinence 255 Skin Tags 255 Hemorrhoids 256 References 256 Chapter 26 Ulcerative Colitis 259 H. Wehrli Definition 259 Symptoms 259 Etiology and Pathogenesis 260 Classification of Ulcerative Colitis 260 Extent of Disease 260 Proctitis and Proctosigmoiditis 260 XX Contents Left Sided Colitis 260 Pancolitis 260 Clinical Course 261 Single Attack 261 Chronic Active Colitis 261 Chronic Recurring Colitis 261 Acute Fulminating Colitis 261 Epidemiology 261 Differential Diagnosis 261 Diagnosis of Ulcerative Colitis 261 Pathoanatomic Features of Ulcerative Colitis 262 Medical Treatment of Ulcerative Colitis 263 Principles 263 Available Therapies 263 Salazosulfapyridine 263 Corticosteroids 263 Immunosuppressive Drugs 264 Miscellaneous Therapies 264 Medical Treatment in Pregnancy 264 Surgical Treatment of Ulcerative Colitis 264 Indications for Surgery 264 Acute Complications 265 Lack of Response to Medical Treatment 265 Prevention of Colorectal Cancer 265 Surgical Options 266 Proctocolectomy With Ileostomy 266 Continent Ileostomy 267 Ileorectostomy 269 Ileoanostomy (With or Without a Pouch) 270 References 270 Chapter 27 Diverticular Disease of the Colon 273 P. Ambrosetti Introduction 273 Definition 274 Prevalence and Epidemiology 274 Physiopathology 275 Classification 275 Diverticulosis 275 Diverticulitis 275 Natural History 275 Symptoms 276 Diagnosis 276 Contrast Enema 276 Computed Tomography 276 Ultrasound 278 Endoscopy 278 Differential Diagnosis 279 Carcinoma 279 Crohns Disease 279 Colonic Ischemia 279 Miscellaneous Diseases 279 Medical Treatment 279 Contents XXI Surgical Treatment 279 Anatomy 279 Operative Procedures 280 General Comments 280 Resection Without Anastomosis or Hartmann Procedure 280 Resection with Immediate Anastomosis 281 Indications and Types of Operation 281 References 283 Chapter 28 Ileoanal Anastomosis 285 P. Mathey Introduction 285 History 285 Indications and Contraindications 285 Ulcerative Colitis 285 Indeterminate Colitis 286 Familial Adenomatous Polyposis 286 Miscellaneous Indications 286 Operative Techniques 286 General Comments 286 Transection of the Rectum 286 Mucosectomy 287 Heal Reservoir 287 Ileoanal Anastomosis 288 Protective Ileostomy 289 Operative Mortality and Postoperative Morbidity 289 Functional Results 290 Quality of Life 291 Comment 291 References 291 Chapter 29 Rectovaginal Fistulas 295 M. C. Marti Etiology 295 Clinical Evaluation 295 Classification 296 Treatment 296 Medical Treatment 296 Surgical Treatment 296 Preoperative Conditions and Diagnosis 296 Approaches 296 Local Repairs 297 Flap Advancements 297 Sphincter Preserving Transabdominal Repairs 297 Abdominoperineal Resection 300 Other Procedures 300 Optimal Choice of Procedure 300 References 302 XXII Contents Chapter 30 Prostatorectal Fistulas 303 P. Graber Introduction 303 Physiopathology 303 Pathogenesis 304 Surgical Complications 304 Endoscopic Surgery 304 Infectious Fistulas 304 Diagnosis 304 Clinical Examination 304 Radiological Diagnosis 305 Endoscopy 305 Differential Diagnosis 305 Treatment 305 Conservative Treatment 305 Conservative Treatment With Colostomy 305 Surgical Treatment: The Mason Procedure 305 General Description 305 Operative Technique 305 Postoperative Management 307 Surgical Treatment of Multiple Pelvic Traumata 307 Treatment of Infected Fistulas 307 Early or Late Correction? 307 References 308 Chapter 31 Polyposis Syndromes 309 J. C. GlVEL AND E.D. REIS Introduction 309 Neoplastic Polyposes 309 Familial Adenomatous Polyposis 309 Diagnosis 311 Management 311 Gardners Syndrome 312 Turcots Syndrome 313 Hamartomatous Polyposes 313 Juvenile Polyposis 313 Peutz Jeghers Syndrome 313 Canada Cronkhite Syndrome 313 Polyposis Registries 314 Conclusion 314 References 314 Chapter 32 Colorectal Tumors 317 J. C. GlVEL Introduction 317 Symptoms 317 Investigations 318 Treatment 320 Contents XXIII References 323 Chapter 33 Retrorectal Tumors 327 M. C. Marti Classification 327 Incidence 327 Clinical Presentation 328 Differential Diagnosis 328 Examination 328 Biopsy 328 Surgery 328 Abdominal Approach 329 Posterior Approach 329 Abdominosacral Approach 329 Transrectal Approach 329 Intersphincteric Approach 329 Radiotherapy and Chemotherapy 329 Prognosis 329 References 329 Chapter 34 Constipation: Medical and Surgical Treatment 331 C. ACKERMANN Introduction 331 Definition 331 Classification 331 Investigations 331 History 331 Physical Examination 331 Colonoscopy 331 Histologic Examination 331 X Ray Examinations 333 Colonic Transit Time 333 Anorectal Manometry 333 Electromyography 333 Psychological Evaluation 333 Medical Treatment 333 Diet 334 Laxatives 334 Suppositories 334 Enemas 334 Biofeedback 334 Surgical Treatment 335 Colonic Resection 335 Colonic Resection for Slow Transit Constipation Without Megabowel 335 Colonic Resection for Slow Transit Constipation with Megabowel. . . 337 Restorative Proctocolectomy 337 Duhamel Procedure 337 Anorectal Myectomy 338 Division of Puborectal Muscle 338 Rectopexy 339 XXIV Contents Transanal Rectocele Repair 339 Stoma Form 339 References 340 Chapter 35 Pelvic Floor Disorders 343 M. C. Marti Definition 343 Anatomy 343 Etiology 343 Classification 343 History and Clinical Aspects 344 Additional Investigations 344 Descending Perineum 344 Rectoceles 345 Treatment of Type I Rectocele 345 Treatment of Type II Rectocele 347 Treatment of Type III Rectocele 348 Results of Surgery 348 Enteroceles, Elythroceles, and Sigmoidoceles 349 Perineal Herniation 349 Rectal Prolapse 349 Conclusions 349 References 349 Chapter 36 Rectal Prolapse, Solitary Rectal Ulcer Syndrome, and Descending Perineal Syndrome 351 E. Gemsenjager Definition 351 Etiology 351 Pathophysiology 352 Uniform Endopelvic Appearance 352 External, Perineal, and Endoluminal Appearance 352 Associated Pathological Conditions and Their Clinical Features 353 Sphincter Function, Incontinence, and Descending Perineal Syndrome . 353 Mucosal Prolapse, Internal Rectal Prolapse, Rectocele, and Zystocele . . . 357 Solitary Rectal Ulcer Syndrome 357 Diagnosis and Examination 358 Treatment 359 General Comments 359 Abdominal Procedures 360 Perineal Procedures 362 Laparoscopic Transabdominal Approach 363 Technical Details for Abdominal Repair 363 Personal Experience 365 Results in Patients with Internal Rectal Prolapse 366 Conclusion 367 References 367 Contents XXV Chapter 37 Anorectal Strictures 371 M. C. Marti Definition and Etiology 371 Clinical Aspects and Diagnosis 372 Prevention 372 Treatment of Anal Stenosis 372 Medical and Conservative Treatment 372 Anoplasty 372 Treatment of Rectal Stenosis 375 Results 375 References 375 Chapter 38 Anorectal Traumatic Lesions 377 M. C. Marti Etiology 377 Classification 377 Diagnosis 378 Treatment 378 Intraperitoneal Perforation 378 Extraperitoneal Perforation 378 Drainage 379 Completion of Laparotomy 379 Sphincter Injuries 379 Restoration of Continuity 379 References 379 Chapter 39 Foreign Bodies 381 M. C. Marti Ingested Foreign Bodies 381 Migration from the Peritoneum 381 Introduced Foreign Bodies 381 Treatment 381 References 382 Chapter 40 Parasitology of the Human Colorectoanal Tract 385 A.A. POLTERA Introduction 385 Protozoa 385 Amebiasis 385 Epidemiology 385 Pathophysiology and Clinical Presentation 385 Diagnostic Procedures 385 Chemotherapy 388 Balantidiasis 388 Megacolon of Chagas Disease 388 XXVI Contents Helminthic Metazoa 388 Schistosomiasis 389 Epidemiology 389 Pathophysiology and Clinical Presentation 390 Diagnostic Procedures 390 Chemotherapy 390 Strongyloidiasis 391 Trichuriasis 392 Enterobiasis 392 Ascariasis 392 Taeniasis 392 Angiostrongyliasis 392 Anisakiasis 393 Oesophagostomiasis 393 References 393 Section IV Miscellaneous Conditions Chapter 41 Pediatric Proctology 397 A.F. SCHARLI Lesions of the Perianal Skin 397 Dermatitis 397 Diaper Rash 397 Seborrheic Dermatitis 397 Atopic Dermatitis 397 Perianal Infections of the Skin 398 Viral Infections 398 Bacteria 398 Perianal Candidiasis 399 Contact Dermatitis 399 Inflammation of the Anal Canal 399 Anal Inflammation 399 Inflammation of the Anal Crypts and Papillae 399 Perianal Abscess 399 Perianal Fistula 400 Pilonidal Sinus 401 Anal Fissure 401 Hemorrhoids 402 Rectal Prolapse 403 Polyps of the Anus and Colon 404 Nonneoplastic Polyps 404 Juvenile (Mucous Retention) Polyps 404 Peutz Jeghers Polyps 405 Hyperplastic Polyps 405 Inflammatory Polyps 405 Neoplastic Polyps (Adenomas) 405 Polyposis Syndromes 405 Anorectal Malformations 407 Classification 407 Contents XXVII Diagnostic Procedure 407 Interpretation of Diagnostic Procedures 408 Accompanying Congenital Malformations 408 Urogenital Malformations 408 Malformations of the Spinal Column 409 Other Malformations 409 Treatment 410 Low, Translevator Anomalies 410 Intermediate Anomalies 410 High Supralevator Anomalies 411 Postoperative Assessment 414 References 414 Chapter 42 Pregnancy and Proctological Diseases 417 M. C. Marti Introduction 417 Proctological Diseases Provoked by Pregnancy 417 Proctological Diseases Aggravated by Pregnancy 418 Proctological Diseases Resulting from Pregnancy and Childbirth 418 Proctological Disease Endangering Pregnancy 419 Proctological Diseases that Contraindicate Pregnancy 419 Proctological Diseases that Contraindicate Vaginal Delivery 420 Conclusion 420 References 420 Chapter 43 Radiation Injury 423 H.A. VUILLEUMIER AND E.D. REIS Introduction 423 Definitions 423 Pathophysiology and Pathology 424 Classification 425 Epidemiology 425 Prevention 427 Clinical Features and Diagnosis 428 Conservative Treatment 429 Surgical Therapy 430 Management Pitfalls 432 Conclusions 433 References 433 Chapter 44 Sexually Transmitted Diseases in Coloproctology 437 D. Christen Introduction 437 Diseases Caused by Bacteria 438 Syphilis 438 Gonorrhea 440 Chlamydia 441 XXVIII Contents Chancroid 442 Granuloma Inguinale 442 Viral Infections 443 Herpesviruses 443 Herpes Simplex Virus 443 Cytomegalovirus 445 Molluscum Contagiosum 445 Human Papillomavirus (Condyloma Acuminatum, Genital Warts) . 446 Condyloma Acuminatum 446 Bowenoid Papulosis 448 Intraepidermal Carcinoma 448 Parasites 448 Cryptosporidiosis 448 Isospora Belli 448 Microsporida 448 Gay Bowel Syndrome 448 Anal Pain of Unknown Origin 449 References 449 Chapter 45 Resurfacing the Perineal Area in Soft Tissue Defects 451 B. PlTTET, R. GUMENER, AND D. MONTANDON Introduction 451 Wound Healing 451 Primary Closure 451 Skin Grafts 451 Flaps 451 Pre and Perioperative Care 452 Infections 452 Hidradenitis Suppurativa 452 Fourniers Gangrene 452 Burns 453 Tumors 454 Pressure Sores 456 Perineal Wounds 457 References 458 Subject Index 461
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id	DE-604.BV012093363
illustrated	Illustrated
indexdate	2024-10-09T14:00:50Z
institution	BVB
isbn	3540636218
language	English
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-008190080
oclc_num	313072266
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owner_facet	DE-355 DE-BY-UBR DE-19 DE-BY-UBM
physical	XXXI, 464 S. Ill.
publishDate	1998
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publishDateSort	1998
publisher	Springer
record_format	marc
spelling	Surgical management of anorectal and colonic diseases with 100 tables Marc-Claude Marti ... (eds.) 2. ed. Berlin [u.a.] Springer 1998 XXXI, 464 S. Ill. txt rdacontent n rdamedia nc rdacarrier 1. Aufl. u.d.T.: Surgery of anorectal diseases Colonkrankheit (DE-588)4129861-5 gnd rswk-swf Anorektale Krankheit (DE-588)4227452-7 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf Anorektale Krankheit (DE-588)4227452-7 s Chirurgie (DE-588)4009987-8 s DE-604 Colonkrankheit (DE-588)4129861-5 s Marti, Marc-Claude 1941-2001 Sonstige (DE-588)120302314 oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008190080&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Surgical management of anorectal and colonic diseases with 100 tables Colonkrankheit (DE-588)4129861-5 gnd Anorektale Krankheit (DE-588)4227452-7 gnd Chirurgie (DE-588)4009987-8 gnd
subject_GND	(DE-588)4129861-5 (DE-588)4227452-7 (DE-588)4009987-8
title	Surgical management of anorectal and colonic diseases with 100 tables
title_auth	Surgical management of anorectal and colonic diseases with 100 tables
title_exact_search	Surgical management of anorectal and colonic diseases with 100 tables
title_full	Surgical management of anorectal and colonic diseases with 100 tables Marc-Claude Marti ... (eds.)
title_fullStr	Surgical management of anorectal and colonic diseases with 100 tables Marc-Claude Marti ... (eds.)
title_full_unstemmed	Surgical management of anorectal and colonic diseases with 100 tables Marc-Claude Marti ... (eds.)
title_short	Surgical management of anorectal and colonic diseases
title_sort	surgical management of anorectal and colonic diseases with 100 tables
title_sub	with 100 tables
topic	Colonkrankheit (DE-588)4129861-5 gnd Anorektale Krankheit (DE-588)4227452-7 gnd Chirurgie (DE-588)4009987-8 gnd
topic_facet	Colonkrankheit Anorektale Krankheit Chirurgie
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008190080&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT martimarcclaude surgicalmanagementofanorectalandcolonicdiseaseswith100tables

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