Hemorrhoids:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin [u.a.]
Springer
2014
|
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Zusätzliche Angaben Inhaltsverzeichnis |
| Beschreibung: | XI, 142 S. zahlr. Ill., graph. Darst. 29 cm |
| ISBN: | 3642417973 9783642417979 |
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| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2014 | |
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Datensatz im Suchindex
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CONTENTS
1 THE HISTORY OF HEMORRHOIDS 1
1.1 INTRODUCTION 1
1.1.1 GREECE, ROME, THE MIDDLE AGE, AND THE RENAISSANCE 1
1.1.2 HEMORRHOID SURGERY IN THE EIGHTEENTH CENTURY:
AN ERA OF LIGATION AND SIMPLE EXCISION 1
1.1.3 HEMORRHOID SURGERY IN THE NINETEENTH CENTURY 2
1.1.4 THE HEMORRHOID SURGERY IN THE TWENTIETH CENTURY 2
1.1.5 A CONSERVATIVE TREATMENT OF HEMORRHOIDS 3
1.2 THE INCIDENCE OF HEMORRHOIDS 4
REFERENCES 4
2 ANAL ANATOMY 5
2.1 ANATOMY RELATED TO HEMORRHOIDS 5
2.1.1 THE ANAL MUCOSA AND ANODERM 5
2.1.2 TREITZ'S MUSCLE 6
2.1.3 INTERNAL SPHINCTER 6
2.1.4 CONJOINED LONGITUDINAL MUSCLE 7
2.1.5 THE EXTERNAL ANAL SPHINCTER 10
2.1.6 THE LEVATOR ANI AND PELVIC FLOOR MUSCLES 10
2.1.7 THE LEVATOR ANI TUNNEL 12
2.1.8 THE HIATAL LIGAMENT 13
REFERENCES 13
3 THE PATHOPHYSIOLOGY OF HEMORRHOIDS 15
3.1 WHAT ARE HEMORRHOIDS? 15
3.1.1 THE VARICOSE VEIN THEORY 16
3.1.2 THE VASCULAR HYPERPLASIA THEORY 17
3.1.3 THE THEORY OF INTERNAL ANAL SPHINCTER HYPERTONIA 17
3.1.4 THE SLIDING ANAL LINING (CUSHION) THEORY 17
3.2 THE CAUSES OF HEMORRHOIDS 22
3.2.1 DEFECATION WITH PROLONGED STRAINING 22
3.2.2 CONSTIPATION WITH A LOW-FIBER DIET 23
3.2.3 DIARRHEA 23
3.2.4 HEREDITARY 23
3.2.5 PREGNANCY 23
3.2.6 SPORTS AND LEISURE ACTIVITIES CAUSING HEMORRHOIDS 23
3.2.7 OCCUPATION 24
3.2.8 PSYCHOLOGICAL PROBLEMS AND SPINAL PARALYSIS 24
REFERENCES 24
VII
HTTP://D-NB.INFO/1042340404
VIII
CONTENTS
4 DIAGNOSIS OF HEMORRHOIDS 25
4.1 DIAGNOSTIC SEQUENCES FOR HEMORRHOIDS (ANUS) 26
4.2 THE POSTURE FOR EXAMINATION 26
4.2.1 LEFT LATERAL POSITION (SIMS'POSITION) 26
4.2.2 LITHOTOMY POSITION 26
4.2.3 KNEE-CHEST POSITION 28
4.3 THE PRACTICE OF DIAGNOSIS 30
4.3.1 THE HISTORY 30
4.3.2 INTERVIEW 30
4.3.3 INSPECTION 32
4.3.4 PROLAPSE TEST FOR INTERNAL HEMORRHOIDS 32
4.3.5 DIGITAL RECTAL EXAMINATION (DIGITAL EXAMINATION) 32
4.3.6 ANOSCOPIC EXAMINATION 33
4.3.7 RIGID SIGMOIDOSCOPY 35
4.3.8 COLONOSCOPIC EXAMINATION 36
4.4 DIFFERENTIAL DIAGNOSIS 37
4.4.1 HYPERTROPHIED ANAL PAPILLAE 37
4.4.2 RECTAL PROLAPSE 37
4.4.3 RECTAL MUCOSA ECTROPION 37
4.4.4 MUCOSAL PROLAPSE SYNDROME (MPS) 38
4.4.5 RECTOCELE 38
4.4.6 RECTAL POLYP AND CANCER 38
4.4.7 SKIN TAG 38
REFERENCES 40
5 INDICATIONS FOR THE TREATMENT OF HEMORRHOIDS 41
5.1 CLASSIFICATION OF HEMORRHOIDS 41
5.1.1 AN ATTEMPT OF NEW CLASSIFICATION 42
5.2 INDICATIONS OF HEMORRHOID SURGERY 43
5.2.1 BLEEDING HEMORRHOIDS 43
5.2.2 PROLAPSED HEMORRHOIDS 44
5.2.3 PAIN 44
5.2.4 FECAL INCONTINENCE 44
5.2.5 MUCUS DISCHARGE, PRURITUS ANI 44
REFERENCES 45
6 NONSURGICAL TREATMENT OF HEMORRHOIDS 47
6.1 CONSERVATIVE TREATMENT OF HEMORRHOIDS 47
6.1.1 HOT SITZ BATH 47
6.1.2 MEDICAL TREATMENT OF HEMORRHOIDS 47
6.1.3 DIETARY TREATMENT: HIGH FIBERS 48
6.1.4 BOWEL MOVEMENT EDUCATION 52
6.2 RUBBER BAND LIGATION (BARRON, MCGIVNEY) 52
6.2.1 PRINCIPLES OF RUBBER BAND LIGATION 53
6.2.2 INDICATION OF RUBBER BAND LIGATION 53
6.2.3 PROCEDURE 53
6.2.4 LIMITATIONS AND CONTRAINDICATIONS OF RUBBER BAND LIGATION 53
6.2.5 THE COMPLICATIONS OF RUBBER BAND LIGATION 53
6.3 SCLEROTHERAPY 55
6.3.1 THE PRINCIPLES OF SCLEROTHERAPY 55
6.3.2 INDICATIONS 55
6.3.3 CONTRAINDICATIONS 56
6.3.4 SCLEROSING AGENTS FOR SCLEROTHERAPY 56
6.3.5 THE INJECTION METHOD OF SCLEROSING AGENT 56
6.4 CRYOSURGERY 60
CONTENTS IX
6.5 INFRARED COAGULATION 61
6.6 ULTROID 61
6.7 LASER 61
6.8 HEMORRHOIDAL ARTERY LIGATION (HAL) 61
6.9 ANAL DILATATION TREATMENT 62
6.9.1 CONTRAINDICATIONS 62
REFERENCES 63
7 SURGICAL TREATMENT OF HEMORRHOIDS: LIFT-UP SUBMUCOSAL
HEMORRHOIDECTOMY 65
7.1 VARIOUS OPERATIONS FOR HEMORRHOIDS BASED ON THE CONCEPT OF LIFT UP
. . 67
7.1.1 PPH (STAPLED HEMORRHOIDOPEXY) 67
7.1.2 WHITEHEAD OPERATION 67
7.1.3 RUBBER BAND LIGATION 67
7.1.4 SCLEROTHERAPY 68
7.1.5 DR. TAKANO'S OPERATION 68
7.1.6 LIGATION AND EXCISION METHOD 68
7.2 THE PROCEDURE OF THE LIFT-UP SUBMUCOSAL HEMORRHOIDECTOMY 69
7.2.1 THE PRACTICE OF SURGICAL OPERATION 69
7.3 PLAN OF HEMORRHOIDECTOMY AND DESIGN OF INCISION 75
7.3.1 BASIC FORM 76
7.3.2 MUCOSAL PROLAPSE 76
7.3.3 INCARCERATED HEMORRHOIDS 76
7.3.4 LONG PROLAPSED HEMORRHOIDS 76
7.3.5 THROMBOSED HEMORRHOIDS 77
REFERENCES 78
8 FAMOUS SURGICAL OPERATIONS FOR HEMORRHOIDS TRACING
EXPERTS' OPERATIONS 79
8.1 PARKS' SUBMUCOSAL HEMORRHOIDECTOMY 79
8.1.1 SURGICAL TECHNIQUE 79
8.2 LIGATION AND EXCISION METHOD BY SUMIKOSHI YUKIO 82
8.2.1 SURGICAL TECHNIQUE 83
8.3 DAKANO'S (IFTI
WF
IE IW)
ANODERM-PRESERVING HEMORRHOIDECTOMY 85
8.3.1 SURGICAL TECHNIQUE 85
8.4 CLOSED HEMORRHOIDECTOMY 89
8.4.1 SURGICAL TECHNIQUE 89
8.5 WHITEHEAD'S HEMORRHOIDECTOMY 90
8.5.1 SURGICAL TECHNIQUE 92
8.6 HEMORRHOID SURGERY WITH CIRCULAR STAPLER (PPH) 93
8.6.1 SURGICAL TECHNIQUE 93
REFERENCES 95
9 DAY-CASE HEMORRHOIDECTOMY 97
9.1 PREOPERATIVE CONSIDERATIONS 97
9.1.1 SOCIAL CONDITIONS 97
9.1.2 SELECTION OF THE PATIENTS 97
9.1.3 CONSENT FORM 97
9.1.4 PREOPERATIVE PREPARATION 97
9.1.5 SURGICAL TECHNIQUE 97
9.1.6 THE POSTOPERATIVE TREATMENT 97
9.2 CONSIDERATIONS FOR ANESTHESIA 98
9.2.1 PREOPERATIVE PATIENT SELECTION 98
9.2.2 METHODS OF ANESTHESIA 98
9.2.3 DISCHARGE AFTER SURGERY 98
X
CONTENTS
10 PERIOPERATIVE MANAGEMENT 99
10.1 PREOPERATIVE MANAGEMENT 99
10.1.1 PREOPERATIVE EXAMINATION AND PREPARATION 99
10.1.2 PREOPERATIVE PREPARATION AND MANAGEMENT 100
10.2 MONITORING DURING OPERATION 101
10.3 POSTOPERATIVE MANAGEMENT 101
10.3.1 CHECK THE IMMEDIATE POSTOPERATIVE VITAL SIGNS 101
10.3.2 MANAGEMENT OF PAIN 101
10.3.3 BLEEDING AFTER HEMORRHOIDECTOMY 105
10.3.4 MANAGEMENT OF BOWEL EVACUATION AFTER SURGERY 107
10.3.5 SKIN TAG 107
10.3.6 ANAL STENOSIS 109
10.4 CRITICAL PATHWAY ILL
10.5 DAY SURGERY 113
10.6 OUTPATIENTS (OPD) TREATMENT 113
REFERENCES 116
11 SPECIAL CONSIDERATION AND CONTRAINDICATIONS OF HEMORRHOIDECTOMY 119
11.1 AGE 119
11.2 CONCOMITANT CHRONIC DISEASE 119
11.3 PREGNANCY AND DELIVERY 119
11.4 GASTROINTESTINAL DISEASE 119
11.5 DRUG ADDICTION AND ALCOHOLISM 119
11.6 IMMUNE DEFICIENCY 120
11.7 WEAKNESS OF ANAL SPHINCTER 120
11.8 ANAL CANAL DEFORMITY 120
11.9 MUCOSAL INFLAMMATION 120
11.10 ON THE SPECIFIC DISEASE STATUS 120
12 HEMORRHOIDS IN A SPECIFIC CONDITION 121
12.1 THROMBOSED EXTERNAL HEMORRHOIDS 121
12.1.1 OPERATIVE METHODS 121
12.2 INCARCERATED HEMORRHOIDS 121
12.3 HEMORRHOIDS IN PREGNANCY 122
12.4 HEMORRHOIDS IN PORTAL HYPERTENSION 122
12.5 HEMORRHOIDS IN IBD 123
12.6 HEMORRHOIDS IN LEUKEMIA 123
12.7 OTHERS 123
REFERENCES 123
13 ANESTHESIA FOR ANAL SURGERY 125
13.1 LOCAL ANESTHESIA 125
13.1.1 DRUGS 125
13.1.2 INDICATION 125
13.1.3 INDUCTION OF LOCAL ANESTHESIA 125
13.1.4 METHOD OF LOCAL INFILTRATION 127
13.1.5 PRECAUTIONS 128
13.2 SPINAL ANESTHESIA (SADDLE BLOCK) 128
13.2.1 DRUGS 130
13.2.2 POSITIONS FOR THE LUMBAR PUNCTURE 130
13.2.3 SETTING THE PUNCTURE SITE 130
CONTENTS
XI
13.2.4 APPROACH METHODS OF THE LUMBAR PUNCTURE 130
13.2.5 SADDLE BLOCK 132
13.2.6 COMPLICATIONS OF SPINAL ANESTHESIA 132
13.3 CAUDAL BLOCK 134
13.3.1 POSITION OF PATIENT 134
13.3.2 PUNCTURE SITE ON THE CAUDAL BLOCK: IDENTIFICATION
OF THE SACRAL HIATUS 134
13.4 EPIDURAL ANESTHESIA 136
13.5 GENERAL ANESTHESIA 136
REFERENCES 137
INDEX 139 |
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| spellingShingle | Yang, Hyung Kyu Hemorrhoids Hämorrhoiden (DE-588)4134304-9 gnd |
| subject_GND | (DE-588)4134304-9 (DE-588)4143413-4 |
| title | Hemorrhoids |
| title_auth | Hemorrhoids |
| title_exact_search | Hemorrhoids |
| title_full | Hemorrhoids Hyung Kyu Yang |
| title_fullStr | Hemorrhoids Hyung Kyu Yang |
| title_full_unstemmed | Hemorrhoids Hyung Kyu Yang |
| title_short | Hemorrhoids |
| title_sort | hemorrhoids |
| topic | Hämorrhoiden (DE-588)4134304-9 gnd |
| topic_facet | Hämorrhoiden Aufsatzsammlung |
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