Слайд 2Inferior 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](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-1.jpg)
Слайд 3Methods 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](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-2.jpg)
Слайд 4The rectum is anchored in position by ligaments. When these ligaments weaken,
![The rectum is anchored in position by ligaments. When these ligaments weaken,](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-3.jpg)
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
![1. conservative (for children) 2. sclerotherapy 3. surgery procedure s: - techniques](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-4.jpg)
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
![Alternative Names Rectal Lump Piles Lump in the Rectum Definition: Dilated or](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-5.jpg)
portion of the rectum or anus.
Слайд 7
Sclerotherapy
Injection of sclerosantes into the hemorrhoids
![Sclerotherapy Injection of sclerosantes into the hemorrhoids](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-6.jpg)
Слайд 8Infrared photocoagulation
Which follows to necrosis of hemorrhoids
![Infrared photocoagulation Which follows to necrosis of hemorrhoids](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-7.jpg)
Слайд 9Proximal ligation
By this method artery supply of hemorrhoids is localized and
![Proximal ligation By this method artery supply of hemorrhoids is localized and liquated](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/1168765/slide-8.jpg)
liquated