By Laurence R. Sands, Dana R. Sands
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 review and management
- wound management
- stoma management
- pain management
- anal fissure
- anorectal abscess
- proctalgia fugax
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This booklet is designed to fulfill the wishes of the vascular trainee. it may be carried within the pocket for simple entry and gives useful recommendation on all typically encountered peripheral vascular difficulties. It makes a speciality of surgical element, but additionally carried historical past info on presentation and information on preoperative research and postoperative administration.
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Additional resources for Ambulatory Colorectal Surgery
5). The concentric needle EMG can detect electrical activity in a small area that includes several motor units; therefore, it cannot identify individual muscle fiber action potential. While concentric needle can provide objective data on sphincter integrity, reinnervation, and is useful in sphincter mapping, it is a painful procedure for patients and is often difficult to undergo follow-up evaluation using the same technique (8,29,44,49). Surface Anal Plug EMG As a result of the pain and discomfort associated with needle electrodes, in 1988, O’Donnell and his colleagues (50) used surface electrodes during studying the electrical activity of the EAS.
8) This reflex, which was initially described by Gowers in 1877 (17) and subsequently by Denny-Brown and Robertson in 1935, is believed to enable rectal contents to reach the highly sensitive area of the anal mucosa. This “sampling” mechanism provides accurate distinction between fluid, flatus, and feces and has an important role in the fine adjustment of anal continence (Fig. 4) (3,29). Impaired anal sensation is correlated with childbirth, perineal descent syndrome, and prior transanal mucosectomy.
38. Orkin BA. Rectal carcinoma: Treatment. In: Beck DE, Wexner SD, eds. Fundamentals of Anorectal Surgery. , chapter 18, 1992:260–369. 39. Weinstein M, Roberts M. Sexual potency following surgery for rectal carcinoma. A followup of 44 patients. Ann Surg 1977; 185:295–300. 40. Danzi M, Ferulano GP, Abate S, et al. Male sexual function after abdominoperineal resection for rectal cancer. Dis Colon Rectum 1983; 26:665–668. 41. Balslev I, Harling H. Sexual dysfunction following operation for carcinoma of the rectum.
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