Слайд 2Inferior mesenteric artery
Superior
Rectal artery
Middle rectal
artery
Median sacral artery
Arterial supply
Internal iliac artery
Слайд 3Methods of examination
patient complaints
Inspection
digital investigation (per rectum)
rectal speculum
procto(sigmoido)scopy
fibrocolonoscopy
irrigoscopy
Слайд 4The rectum is anchored in position by ligaments. When these ligaments weaken,
the rectum can move out of its normal position, downward, and pass through the anus. This is called rectal prolapse.
Rate of rectal prolapse is 0.2 – 1.0 % from other surgical diseases.
Rectal prolapse appears in different age patients.
Children 30 – 33%,
21-50 years adults – more than 50%.
According to some authors, more than 70% of patients are males
Слайд 51. conservative (for children)
2. sclerotherapy
3. surgery procedure s:
- techniques for narrowing
of anus (Tirsh`s technigue )
- plastic surgery of pelvis floor
- resection of prolapsed rectum
- recto-, or sigmopecsia (Kumel`s procedure)
- combined methods.
Слайд 6Alternative Names
Rectal Lump
Piles
Lump in the Rectum
Definition:
Dilated or enlarged veins in the lower
portion of the rectum or anus.
Слайд 7
Sclerotherapy
Injection of sclerosantes into the hemorrhoids
Слайд 8Infrared photocoagulation
Which follows to necrosis of hemorrhoids
Слайд 9Proximal ligation
By this method artery supply of hemorrhoids is localized and
liquated