Слайд 2Inferior mesenteric artery
Superior
Rectal artery
Middle rectal
artery
Median sacral artery
Arterial supply
Internal iliac artery
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Слайд 3Methods of examination
patient complaints
Inspection
digital investigation (per rectum)
rectal speculum
procto(sigmoido)scopy
fibrocolonoscopy
irrigoscopy
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Слайд 4The rectum is anchored in position by ligaments. When these ligaments weaken,
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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
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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
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portion of the rectum or anus.
Слайд 7
Sclerotherapy
Injection of sclerosantes into the hemorrhoids
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Слайд 8Infrared photocoagulation
Which follows to necrosis of hemorrhoids
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Слайд 9Proximal ligation
By this method artery supply of hemorrhoids is localized and
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liquated