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العنوان
POSTOPERATIVE COMPLICATIONS
FOLLOWING ANAL OPERATIONS /
المؤلف
El-Akabawey,Mohammed Abd El-Fattah.
هيئة الاعداد
باحث / Mohammed Abd El-Fattah El-Akabawey
مشرف / Hassan Sayed Tantawy
مشرف / Mahmoud Zakareya
تاريخ النشر
2012
عدد الصفحات
119p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2012
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة عامة
الفهرس
Only 14 pages are availabe for public view

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from 119

Abstract

The anal canal can be the site of rare lesions. Most conditions
arising in this area, however, are common and benign but may
be incapacitating and interfere with the daily quality of life of
patients. Moreover, these disorders are often misdiagnosed or
maltreated, leading at times to disastrous consequences. A
better knowledge of the functional anatomy of this portion of
the gastrointestinal tract, as well as recent changes in our
understanding of its physiology and that of the pelvic floor,
should facilitate diagnosis and management of these ailments
and result in more favorable outcomes. [Townsend et al.,
2006]
Hemorrhoids are a common problem and are one of the oldest
ailments known to mankind. Although the majority of patients
with anal complaints blame their problems on hemorrhoids,
only approximately a third of these symptoms actually result
from hemorrhoids. Other conditions causing anal complaints
include pruritus ani, anal fissure, fistula‐in‐ano, abscess, and
condyloma acuminata. Often a patient has hemorrhoids that
are actually asymptomatic, but they have one of these other
conditions causing symptoms that they erroneously attribute to their hemorrhoids. Surgeons who treat hemorrhoids should be
familiar with these other conditions so that they can properly
treat the patient. [Gregorcyk & Huber, 2008]
A fissure in ano is a tear in the anoderm distal to the dentate
line. The pathophysiology of anal fissure is thought to be
related to trauma from either the passage of hard stool or
prolonged diarrhea. Surgical therapy traditionally has been
recommended for chronic fissures that have failed medical
therapy, and lateral internal sphincterotomy is the procedure
of choice for most surgeons. [Brunicardi et al.,2010]
Anorectal abscess and fistula are common. A simplified
approach to pelvic sepsis designates the abscess as the acute
manifestation of infection, with the fistula representing the
chronic stage of the same disease. However, both abscess and
fistula can occur independently of the other. Successful
treatment of these disorders with minimal morbidity requires
knowledge of the anatomic spaces surrounding the anorectum
and the various potential clinical presentations, application of
traditional surgical principles, and employment of specific
techniques tailored for each patient. [Glasgow & Dietz, 2008]
Fecal incontinence is a disabling disease with severe
psychosocial implications. The impact on the quality of life for patients is significant and can lead to work absenteeism, depression, and social isolation. Basic
understanding of pelvic floor anatomy is essential to appreciate the etiology and treatment of
Fecal incontinence. Sphincter function, rectal sensation, adequate capacity and compliance, colonic
transit time, stool consistency, and cognitive and neurologic function are all factors that
influence continence. [Madeleine &Herand,
2008]
Neoplasms of the anal area are rare and represent a wide spectrum of benign and malignant tumors.
The wide range of benign, premalignant, and malignant tumors of the anal region reflects its
variation in anatomy and histology. [Ayscue & Smith, 2008]
Other complications whether due to anaeshtesia or subsequent to surgery (surgical procedure)
can arise and need specific
treatment to each.