Inflammatory diseases of rectum

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Inferior mesenteric artery

Superior
Rectal artery

Middle rectal
artery

Median sacral artery

Arterial supply

Internal iliac artery

Inferior mesenteric artery Superior Rectal artery Middle rectal artery Median sacral artery

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Methods of examination

patient complaints
Inspection
digital investigation (per rectum)
rectal speculum
procto(sigmoido)scopy
fibrocolonoscopy
irrigoscopy

Methods of examination patient complaints Inspection digital investigation (per rectum) rectal speculum procto(sigmoido)scopy fibrocolonoscopy irrigoscopy

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The rectum is anchored in position by ligaments. When these ligaments weaken,

The 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

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1. conservative (for children)
2. sclerotherapy
3. surgery procedure s:
- techniques for narrowing

1. conservative (for children) 2. sclerotherapy 3. surgery procedure s: - techniques
of anus (Tirsh`s technigue )
- plastic surgery of pelvis floor
- resection of prolapsed rectum
- recto-, or sigmopecsia (Kumel`s procedure)
- combined methods.

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Alternative Names
Rectal Lump
Piles
Lump in the Rectum
Definition:
Dilated or enlarged veins in the lower

Alternative Names Rectal Lump Piles Lump in the Rectum Definition: Dilated or
portion of the rectum or anus.

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Sclerotherapy

Injection of sclerosantes into the hemorrhoids

Sclerotherapy Injection of sclerosantes into the hemorrhoids

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Infrared photocoagulation

Which follows to necrosis of hemorrhoids

Infrared photocoagulation Which follows to necrosis of hemorrhoids

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Proximal ligation

By this method artery supply of hemorrhoids is localized and

Proximal ligation By this method artery supply of hemorrhoids is localized and liquated
liquated

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Anorectal Abscess

Anorectal Abscess
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