By Laurence R. Sands, Dana R. Sands
A nice single-source reference encompassing all points of colorectal surgical procedure, Ambulatory Colorectal Surgery covers topics:
- patient evaluation
- anorectal anatomy
- anorectal ultrasound
- biofeedback techniques
- fecal incontinence review and management
- wound management
- stoma management
- pain management
- anal fissure
- anorectal abscess
- proctalgia fugax
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Extra resources for Ambulatory Colorectal Surgery
The first sensation the patient perceives is recorded as the first sensation (minimal sensory volume) and the mean intraballoon pressure is noted at this volume. The balloon is continuously filled until the maximum tolerable volume is reached. This volume is recorded again with the intraballoon pressure. Using theses variables, the rectal compliance can be calculated as ( V/ P) (29). Continuous Pull-Through Method In the continuous pull-through method, the equipment includes a motor that results in automated continuous withdrawal of the catheter rather than manually pulling it out.
37. Gerstenberg TC, Nielsen ML, Clausen S, et al. Bladder function after abdominoperineal resection of the rectum for anorectal cancer. Am J Surg 1980; 91:81–86. 38. Orkin BA. Rectal carcinoma: Treatment. In: Beck DE, Wexner SD, eds. Fundamentals of Anorectal Surgery. , chapter 18, 1992:260–369. 39. Weinstein M, Roberts M. Sexual potency following surgery for rectal carcinoma. A followup of 44 patients. Ann Surg 1977; 185:295–300. 40. Danzi M, Ferulano GP, Abate S, et al. Male sexual function after abdominoperineal resection for rectal cancer.
SHAWKI AND SANDS 30 Clinical Application and Indications Clinically, EMG can provide both quantitative as well as objective information in the evaluation of functional anorectal disorders. It has been proven that EMG has an important role in sphincter mapping in the assessment of patients with fecal incontinence with suspected sphincter damage (62). Constipation may be caused by functional pelvic outlet obstruction secondary to nonrelaxing or paradoxical contraction of the puborectalis, or may result from colonic inertia.