Transanal Stapling Techniques for Anorectal ProlapseDavid Jayne, Angelo Stuto Springer Science & Business Media, 23.12.2008 - 135 Seiten It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography. |
Andere Ausgaben - Alle anzeigen
Transanal Stapling Techniques for Anorectal Prolapse David Jayne,Angelo Stuto Keine Leseprobe verfügbar - 2010 |
Transanal Stapling Techniques for Anorectal Prolapse David Jayne,Angelo Stuto Keine Leseprobe verfügbar - 2009 |
Transanal Stapling Techniques for Anorectal Prolapse David Jayne,Angelo Stuto Keine Leseprobe verfügbar - 2011 |
Häufige Begriffe und Wortgruppen
anal canal anal cushions anal sphincter anastomosis anatomical anismus anorectal prolapse assessment associated biofeedback bleeding Boccasanta bowel circumferential clinical trial Colon Rectum Coloproctol complications constipation Contour Transtar conventional hemorrhoidectomy defecography dentate line distal rectum double-stapled dysfunction dyssynergia enterocele evacuation evaluation excision external anal sphincter fecal fecal incontinence follow-up following stapled hemorrhoidopexy full-thickness function grade hemorrhoidal disease hemorrhoidal prolapse incontinence inserted Int J Colorectal internal rectal prolapse internal sphincter intussusception Lancet long-term Longo Milligan-Morgan mucosectomy muscle normal outcome patients with ODS pelvic floor performed posterior postoperative pain preoperative pressure proctoscope prolapsing piles pruritis puborectalis purse-string suture randomized controlled trial randomized trial rectal wall rectoanal rectocele recurrent prolapse reduced reported retractor rhoidectomy rhoidopexy rubber band ligation scoring Seow-Choen sepsis sigmoidoscopy skin tags staple line stapled hemor stapled hemorrhoidectomy stapled hemorrhoidopexy Stapled transanal rectal stapler STARR procedure straining studies Surg surgery surgical suture symptomatic symptoms tion transanal rectal resection vaginal