Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1408_Библиотеки_им_академика_М_И_Перельмана
.pdf
marsupialization, 105–106, 106f
sclerosing therapy, 110
Plain abdominal radiographs, for anorectal
foreign body, 203
PNTML. See Pudendal nerve terminal motor
latencies (PNTML)
Pocket syndrome, 252
Portal hypertension patients, hemorrhoids
in, 62
Posterior sagittal anorectoplasty (PSARP), for
anorectal malformations, 101, 183–185
Posterior tibial nerve stimulation (PTNS), for
fecal incontinence, 172
Postsurgical anorectal disorders
anorectal dysfunctions, diagnosis of,
256–259
anorectal manometry, 256–257
transanal ultrasound, 257, 258f
functional disorders after surgery for
anorectal diseases, 251–256
anal fissure, 253
anal fistulas, 253, 254f
external rectal prolapse surgery, 255, 255f
hemorrhoids, 251–252, 252–253f
imperforate anus surgery, 255, 256f
obstructed defecation syndrome, 253–255,
254f
rectal cancer surgery, 256
treatments
fistulotomy or cuting seton, anal
incontinence and soiling after, 259
hemorrhoidectomy, anal incontinence
and soiling after, 259
lateral internal sphincterotomy for anal
fissure, anal incontinence and soiling
after, 259
low anterior resection syndrome, 260
obstructed defecation after stapled
hemorrhoidopexy or STARR operation
for rectocele/intussusception, 260
obstructed defecation for anal structure
after hemorroidectomy, 260
persistent pain after stapled
hemorrhoidopexy or STARR operation,
260
urge incontinence after stapled
hemorrhoidopexy or STARR operation,
259–260
Pregnancy, hemorrhoids in, 61
PRM. See Puborectalis muscle (PRM)
Proctalgia fugax
clinical presentation, 244–245
definition, 243
diagnostic tests, 245
epidemiology, 243–244
management, 245–246
pathophysiology, 244
predisposing conditions, 244
treatment, 246t
Proliferation of the embryonic anorectum, 5–6
Prucalopride, 223
Pruriceptive itch, 115
evolution, event association in, 116f
Pruritus, 194
Pruritus ani
etiology of, 115–116, 117t
primary or idiopathic, 116
secondary causes of, 118
anal fissure, 119–120, 120
t
anor
ectal diseases, 118–121
infections, 120–121
local irritation, 118
psychological causes, 121
treatment for, 117–118
anal tattooing, 118
elimination step, 117
topical therapy, 117–118
PSARP. See Posterior sagittal anorectoplasty
(PSARP)
Psychogenic itch, 115
Psyllium, for fecal incontinence, 171
PTNS. See Posterior tibial nerve stimulation
(PTNS)
Pubococcygeal line (PCL), 154, 157–158
Puborectalis muscle (PRM), 9–12, 14–17, 228
length-tension function of, 20, 21f
neural innervation of, 17–18
Pudendal nerve terminal motor latencies
(PNTML), 41
for fecal incontinence, 168
Index 275
Pudendal neuralgia, 247–248
Pyridostigmine, 223
R
Radiofrequency ablation, for internal
hemorrhoids, 60
Rapid Plasma Reagin (RPR) test, for syphilis,
129
Rectal barostat, 42–44, 43f
Rectal bleeding, 191–192, 194
Rectal cancer surgery, 256
Rectal intussusception, ultrasound for, 156
Rectal lymphomas, 195
Rectal mucosal intussusception assessment,
using maneuvers, 33–34
Rectal prolapse, 228
ultrasound for, 156, 157f
Rectal sensory testing, for fecal incontinence,
168–169
defecography, 169
endoanal ultrasound, 168, 169f
magnetic resonance imaging, 169
pudendal nerve motor terminal latency, 168
Rectocele
obstructed defecation after stapled
hemorrhoidopexy or STARR operation
for, 260
ultrasound for, 157, 158f
Rectocele assessment, using maneuvers,
33–34
Rectovestibular fistula, 179, 180f
RPR. See Rapid Plasma Reagin (RPR) test
Rubber band ligation, for internal
hemorrhoids, 58–60, 59f
Rutin, for internal hemorrhoids, 57
S
Sacral nerve electrostimulation, 243
Sacral nerve stimulation (SNS), 224
for fecal incontinence, 172–173
Sacral nerve stimulation, for anal fissure, 76
St. James Hospital classification, of perianal
fistula, 143, 144t
Schwannomas, 196
Sclerosing therapy, for pilonidal disease, 110
Sclerotherapy, for internal hemorrhoids,
57–58, 58f
SECCA procedure, for fecal incontinence, 173
Secondary tumors (metastases), anal canal,
196
Secretagogues, 223
Self-induced trauma, 228
Seton
for anorectal abscess, 90–91
for anorectal fistula, 90–91, 92f
cutting
anal incontinence and soiling after, 259
for pilonidal disease, 111
Sigmoidocele, ultrasound for, 157
Sigmoidoscopy, 228–230
Sit bath, for anal fissure, 88–89
Skin tags, in perianal Crohn’s disease, 139–140
classification of, 139–140
clinical course, 140
treatment, 140
Slow transit constipation, treatment options
for, 222–224
Smooth anal sphincter spasm, 244
SNS. See
Sacral nerve stimulation (SNS)
Sodium
valproate, for fecal incontinence, 171
Solitary rectal ulcer syndrome (SRUS), 227
clinical features, 228
diagnosis, 228–231
epidemiology, 227
pathophysiology, 228
treatment, 231–233
Soranus of Ephesus, 179
Spastic pelvic floor syndrome, 158
Sphincter recti, 14–16
Stapled hemorrhoidopexy, 119
for hemorrhoidal disorders, 52
persistent pain after, 260
for rectocele/intussusception, obstructed
defecation after, 260
urge incontinence after, 259–260
Stapled transanal rectal resection (STARR), 255
persistent pain after, 260
for rectocele/intussusception, obstructed
defecation after, 260
urge incontinence after, 259–260
276 Index
STARR. See Stapled transanal rectal resection
(STARR)
Stimulant laxatives, 223
Stricture, in perianal Crohn’s disease, 142
clinical features, 142
treatment, 142
Subcutaneous fistula, 83
Suprasphincteric fistula, 83
Syphilis, and infectious proctitis, 128–130, 129f
T
Tacrolimus, for pruritus ani, 118
TAI. See Transanal irrigation ( TAI)
TAMIS. See Transanal minimally invasive
surgical technique (TAMIS)
Tendinitis (inflammation) hypothesis, 242
3D ARM. See 3D high-resolution anorectal
manometry (3D ARM)
3D high-resolution anorectal manometry
(3D ARM)
for anal fissure, 68–69f
for evacuatory dysfunction, 40–41
3D-US imaging, of deep pelvic floor muscles,
16–17, 17f
Tinidazole, for amebiasis, 133
Topical medication, for internal
hemorrhoids, 56
Tract injecting technique
for anorectal abscess, 85
for anorectal fistula, 85
Transanal colonic irrigations (TACI), 223–224
Transanal irrigation (TAI), for fecal
incontinence, 172
Transanal minimally invasive surgical
technique (TAMIS), for anorectal
foreign body, 205
Transanal removal, for anorectal foreign body,
203–204
minimally invasive, 205
Transanal ultrasound, examination of anal
canal, 257, 258f
Translumbar MEPs, 37
Transperineal ultrasound, for evacuatory
dysfunction, 42
Transphincteric fistula, 82
Transsacral MEPs, 42
Transvaginal ultrasound, for evacuatory
dysfunction, 42
U
Ulcerations, in perianal Crohn’s disease,
140–141
clinical course, 141
treatment, 141
Ultrasound, 156
endoanal. (see Endoanal ultrasound
(EAUS))
pathologic condition, 156–158
descending perineum syndrome,
157–158
enterocele and sigmoidocele, 157
intussusception and rectal prolapse, 156,
157f
rectocele, 157, 158f
spastic pelvic floor syndrome, 158
pelvic floor, 42
V
VAAFT. See Video-assisted ablation of the
fistula tract (VAAFT)
VAC. See Vacuum-assisted closure ( VAC)
Vacuum-assisted closure (VAC), for pilonidal
disease, 104–105
Vaginal manometry, 18f
VDRL.
See V
enereal Disease Research
Laborator
y (VDRL)
Venereal Disease Research Laboratory ( VDRL),
test, for syphilis, 129
Video-assisted ablation of the fistula tract
(VAAFT)
for anorectal abscess, 94
for anorectal fistula, 94
Vulvar neoplasia, 190f
V-Y flap technique, 109–110, 109f
Z
Zinc oxide ointment, for pruritus ani, 117
Z-plasty technique, 102, 108f
Index 277
Соседние файлы в папке Библиотека им академика М.И. Перельмана