rectal instruments

Author Archive

ANATOMY OF RECTUM

By • Дек 26th, 2010 • Category: For surgery

The length of the rectum, together with the Perineal region (anal canal), is 15 to 16 cm. The length of the anal canal is 2.5—3 cm, that of the rectal ampula 9 cm, and of the rectosigmoid region 3 cm (Fig. 3). In the pelvis the rectum has bends both in the sagit­tal (Figs 1 […]



BRIEF SURGICAL ANATOMY OF THE COLON

By • Дек 26th, 2010 • Category: For surgery

The mucous and submucous membranes of the rec­tum and anal canal are provided with a dense network of lymphatics which extensively anastomose with each other. From the anus and the perineal rectum, lymph passes to the inguinal and, partly, to the femoral nodes, and goes upwards through the inguinal fold (Fig. 13). The lymphatic pathways, […]



INSTRUMENTS USED IN RECTAL SURGERY

By • Дек 26th, 2010 • Category: For surgery

This section shows and describes instruments used in operations in the clinics headed by the author and desig­ned for placing mechanical tantalum suture in perfor­ming intestinal anastomosis in an end-to-end and end-to-side fashion (Fig. 50, 51 and 52). КЦ-28 is particu­larly useful in low anterior resection (see p. 232); the anastomosis can be established 7 […]



POSTOPERATIVE MANAGEMENT OF PATIENT

By • Дек 26th, 2010 • Category: For surgery

Ointment packing of wounds. We complete all rectal and perineal operations by applying ointment packs to the wounds, using gauze strips impregnated with the liquid balsamic ointment of Vishnevsky according to the formula: pitch 3g, xeroform, 3 g, anesthesia 1 g, and castor oil 100 ml. Good results are also produced by a Peruvian balsam […]



DIVISION OF SPHINCTER FOR THERAPEUTIC PURPOSES

By • Дек 26th, 2010 • Category: Anus

In some diseases of the rectum we have to resort to partial division of the anal sphincter in the course of operation, so that its function could be temporarily ar­rested or decreased. It is our practice to perform such sphincterotomy in operations for anorectal abscesses, anal fistulas and anal fissures by incising the sphincter from […]



OPERATIONS FOR ACUTE ANORECTAL ABSCESSES

By • Дек 26th, 2010 • Category: Anus

A patient with an acute anorectal abscess must be operated on within a few hours after the establishement of diagnosis. Anorectal abscesses are usually located in the perirectal or perianal fatty tissues and may be clas­sified, according to their site of origin, into the following four types (Fig. 57, 1, 2 and 3, and Fig. […]



The operation for acute anorectal abscess with sphincterotomy through the internal abscess opening (Rygick’s method)

By • Дек 26th, 2010 • Category: Anus

This method is used in ischiorcctal and pclvirectal abs­cesses. A scmilunal incision is made to lay the abscess cavity wide open. The surgeon then introduces his index finger into the abscess cavity, while inserting his other index finger into the rectum (Fig. 62.1), This enables him to readily ascertain which rectal wall the abscess cavity […]



The operation for deep pelvirectal abscess

By • Дек 26th, 2010 • Category: Anus

Operation is performed under general anesthesia as in the preceding operation. A linear incision of the skin and subcutaneous and is-chiorectal fat is made on the lesion side, the deep wound is drawn widely apart with retractors (Fig. 63.1). and fibers of the levator ani muscles visualized on the wound bottom are carefully dissected with […]



OPERATIONS FOR HORSESHOE (BILATERAL) ANORECTAL ABSCESS

By • Дек 26th, 2010 • Category: Anus

In this form of anorectal abscess, which is encounte­red in 10—11 per cent of cases, the pus passes over from the right (or left) ischiorectal fossa to the opposite side, by skirting the anal canal either posteriorly, or, less fre­quently, anteriorly (Fig. 65 and 66). A primary abscess is in most cases an ischiorectal one […]



OPERATIONS FOR ANAEROBIC ANORECTAL ABSCESSES

By • Дек 26th, 2010 • Category: Anus

Anaerobic anorectal abscesses are uncommon, and may develop from an acute anorectal abscess which has not been operated on it time. Three forms of anaerobic abscess are distinguished: (1) suppurative; (2) progres­sive gangrenous; and (3) abscess with anaerobic lym­phangitis. In suppurative anaerobic abscess no tissue crepitation is elicited on palpation and the pathologic process does […]