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AuthorMann, Charles V. author
TitleSurgical Treatment of Anal Incontinence [electronic resource] / by Charles V. Mann, Richard E. Glass
ImprintLondon : Springer London, 1997
Edition Second Edition
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Descript XV, 195 p. online resource


New surgical techniques for the treatment of anal incontinence have given the increasing number of afflicted patients hope for a cure. Colorectal surgeons and more and more general surgeons are performing operations, yet until now they have not had a text that they can use as a reference work. The guidance and instruction that surgeons need are now available in this atlas. It describes every operation in technical detail, and the two-color illustrations clearly show the essential points of each procedure. The authors discuss thoroughly the indications for surgical treatment, its application to the individual patient, and post-operative care. The comprehensive scope of this book makes it a rich source of information for surgeons working outside highly specialized centers. For specialists, it is the only practical reference available on the subject


1 Essential Anatomy of Anal Continence -- General Introduction -- Structural Anatomy -- Surgical Anatomy -- 2 Physiology of Anal Continence -- General Introduction -- Applied Physiology -- 3 Abdominal Techniques -- General Introduction -- Abdominal Rectopexy with Prosthetic Implant (Syn. Wells Technique) -- Abdominal Rectopexy with Prosthetic Sling (Syn. Ripstein Technique) -- Abdominal Rectopexy plus Colon Resection (Syn. Goldberg Technique) -- Laparoscopic Rectopexy for Rectal Prolapse -- 4 Anterior Perineal Techniques -- General Introduction -- Anterior Plication of Puborectalis and Anal Sphincter (Syn. Anterior Buttress Technique, Anterior Levatorplasty) -- Anterior Sling Procedure (Syn. Notaras Technique) -- 5 Posterior Perineal Techniques -- General Introduction -- Post-anal Intersphincteric Repair (Syn. Parks Technique. Posterior Levatorplasty) -- Post-rectal Buttress Repair (Syn. Wyatt Technique) -- 6 Circum-anal Techniques -- General Introduction -- Circum-anal Wire (or Nylon) Encirclement (Syn. Thiersch Procedure) -- Circum-anal Cicatrical Fixation (Syn. Saraffof Technique) -- Gracilis Muscle Sling Procedure (Syn. Pickrell-von Rapport Technique) -- Stimulated Graciloplasty by B.J. Mander and N.S. Williams -- General Introduction -- Indications and Selection of Patients -- Preparation -- Operative Technique -- Post-operative Care Following Stage 2 -- Results -- 7 Per-anal Techniques -- General Introduction -- Anterior (Rectal) Mucosectomy -- Rectal Wall Plication (Syn. Delorme Technique) -- Rectosigmoidectomy (Syn. Altemeier Technique) -- 8 Technique of Anal Sphincter Repair (Syn. Overlap Technique) -- Indications and Selection of Patients -- Preparation -- Operative Technique -- Post-operative Management -- Results -- 9 Techniques for Congenital Anal Deformity Encountered in Later Life -- General Introduction -- Covered Anus Deformity with Associated Perineal Fistula (โ{128}{156}False Anusโ{128}{157}) -- Anterior Ectopic Deformity -- No Definite Anal or Puborectalis Muscle -- Ectopic Opening Adjacent to an Anal Orifice (โ{128}{156}Shot-gun Deformityโ{128}{157}) -- Cloacal-type Deformity -- Post-operative Management -- Summary -- 10 Techniques for Repair of Traumatic Injury of the Anal Sphincters -- General introduction -- Acute Primary Repair of Traumatised Anal Sphincter and Pelvic Floor -- Trans-vaginal Injury to the Anus and Rectum -- Immediate Repair of Acute Trans-vaginal Injury -- Delayed Repair of Chronic Unhealed Recto-vaginal Septal Defect -- 11 Techniques for Repair of Recto-vaginal Fistula -- I: Low Recto-vaginal Fistula Repairs -- General Introduction -- Excision and Repair of Low Juxtasphincteric Fistula -- Per-vaginal Direct Repair of Low Supra-sphincteric Fistula -- Per-anal Closure of Low Supra-sphincteric Fistula by Advancement Flap -- II: High Recto-vaginal Fistula Repairs -- General Introduction -- Direct Closure Using Interposed Omental Graft -- Extended Resection with Colo-anal Anastomosis -- 12 Salvage Procedures -- General Introduction -- Silastic Sling Encirclement -- Inflatable Anal Prosthesis -- Faecal Diversion (by a Stoma) -- 13 General Supportive Measures -- General Introduction -- Enhancement of Sphincter Responses to Sensory Stimuli by Biofeedback -- Improvement of Anal Sphincter Tone and Reactivity -- Enhancement of the Efficiency of Rectal Emptying -- Alteration of the Consistency of the Stools -- Reduction of Colonic Motor Activity -- Promotion of Increased Patient Awareness and Co-operation

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