rectal instruments

Archives for the ‘Rectum’ Category

LOCKHART-MUMMERY OPERATION FOR RECTAL PROLAPSE IN RYGICK’S MODIFICATION

By • Дек 26th, 2010 • Category: Rectum

This operation for total rectal prolapse consists of peeling off the posterior semicircumference of the rec­tum from the anterior surface of coccyx and sacrum followed by the application of gauze packs to the retro-rectal cavity thus formed. We make use of packs im­pregnated with a liquid ointment having the formula: Pics liquidi 3 ml, (seu […]



THE KOMMEL-ZERENIN OPERATION: (Fixation of the rectum to the sacrum by the abdominal route)

By • Дек 26th, 2010 • Category: Rectum

This operation is intended for non-obese patients bet­ween 35 and 55 years of age and free from cardiovascu­lar diseases. The operation gives good results, the inci­dence of recurrences not ecceeding 12 per cent. Under inhalation anesthesia, preferably using an aze-otropic mixture, and in the supine horizontal position, the abdominal cavity is opened and the patient […]



OPERATIVE TREATMENT OF RECTAL POLYPS

By • Дек 26th, 2010 • Category: Rectum

Single and multiple polyps of the rectum are treated either by excision per anum or by electrocoagulation through a proctoscope. Excision may be done when the polyps are spaced not more than 10 cm from the anus; otherwise electrocoagulation is indicated. Operation for excision of polyps per anum. Under local or combined inhalation anesthesia, and […]



ELECTROCOAGULATION OF POLYPS THROUGH PROCTOSCOPE

By • Дек 26th, 2010 • Category: Rectum

If the polyp lies 11 to 25 cm from the anus, we usually perform electrocoagulation of the polyp through a proctoscope. An adapter, either fenestrated or cup-shaped (in some cases having the shape of sharp grasping forceps (Fig. 123) is screwed onto the steel holder of bronchoesophagoscopy forceps. The indifferent diathermy electrode, a 200 sq. […]



OPERATIONS FOR VILLOUS AND NONMALIGNANT TUMOURS OF THE RECTUM

By • Дек 26th, 2010 • Category: Rectum

After that the swab holder is withdrawn, and the po­lyp pedicle grasped with the forceps’tip (Fig. 124.3) and cauterized. The tumour should be either removed or will «shell out» spontaneously. To remove large pedicled polyps, we make use of a special proctoscope tube designed by us which is 22 mm in diameter, i. e, 4 […]



POSTERIOR PROCTOTOMY OPERATION

By • Дек 26th, 2010 • Category: Rectum

Proctototny is carried out in those cases when the tu­mour has a wide base and is located 4 to 14 cm supe­rior to the anus. The operation is performed with the patient lying on his right side with his legs flexed and somewhat drawn up to the abdomen (Fig. 128,1). Under combined inhala­tion or intubation […]



OPERATION FOR SUTURE OF THE POSTERIOR SEMICIRCUMFERENCE OF THE RECTUM THROUGH THE ENTIRE THICKNESS OF THE EXTERNAL SPHINCTER

By • Дек 21st, 2010 • Category: Rectum

In sphincteric insufficiency of second or third degree, which is mainly due to a loss of tone or scarring of the posterior sphincteric wall, the author’s method of choice is the suture of the posterior half of rectal circumference and anal sphincter with Lembert-type stitches. This pro­cedure is identical to the concluding stage of Lockhart-Mummery […]



PLASTIC OPERATION ON THE ANTERIOR WALL OF RECTUM, VAGINA AND SPHINCTER IN WOMEN FOLLOWING OBSTETRICAL TRAUMA

By • Дек 21st, 2010 • Category: Rectum

This operation is performed in women suffering from sphincteric weakness and perineal deformity due to an obstetrical trauma or other injuries. A common sequela of such trauma is the absence, of anterior perineum, with the mucosa of the posterior vaginal wall fusing with the anterior rectal wall to form a narrow transverse band (Fig. 136). […]



OPERATION FOR THE FORMATION OF AN ARTIFICIAL RECTAL SPHINCTER FROM THE GRACILIS MUSCLE

By • Дек 21st, 2010 • Category: Rectum

This operation is indicated in rectal incontinence due to congenital malformations and also in rectal inconti­nence of a neurological origin and following amputation for a tumour. The patient is placed in the same position as for hemorrhoidectomy and endotracheal anesthesia with azeotropic mixture is used.



OPERATIONS FOR RECTAL STRICTURE

By • Дек 21st, 2010 • Category: Rectum

Non-congenital rectal strictures not associated with an oncological lesion are met with relatively rarely’. They occur as a result of trauma, acute necrotic. anorectal abs­cess, chemical burns caused by an erroneously adminis­tered enema, inflammatory lesions of the pelvic genitalia, or, finally, may be due to venereal lymphogra-nuloma. Most of the strictures are to be operated […]