Management of Rectal Prolapse, and Common Anorectal Conditions

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Endoanal USG 7MHz – 10MHz rotating probe Accuracy 85-90% Fistula track-hypoechoeic H 2 O 2 to improve resolution PitfallsLimited focal range (not accuratefor extrasphincteric fistula)Sepsis <strong>and</strong> scar may mimic fistula
MRI Accuracy primary track 86% secondary track 86% horse-shoe extension 97% Endo-coil increase sensitivity ‘Gold-st<strong>and</strong>ard’ in UK
Page 2 and 3: Rectal Prolapse
Page 4 and 5: Aim of Treatment Primary objectiveE
Page 6 and 7: Elective Presentation :Operative Tr
Page 8 and 9: Perineal Procedures :Delorme Proced
Page 10 and 11: Abdominal Procedure Rectopexy Sutur
Page 12 and 13: Abdominal Procedure :Sutured Rectop
Page 14 and 15: Abdominal Procedure :A ComparisonPr
Page 16 and 17: Choice of Operation :Individualized
Page 18 and 19: Haemorrhoids
Page 20 and 21: Hemorrhoidectomy Preop. preparation
Page 22 and 23: Advantages(Level 1 Evidence) Less p
Page 24 and 25: Limitations Insufficient data for g
Page 26 and 27: Management ofThrombosed Hemorrhoids
Page 28 and 29: Anal Fissure
Page 30 and 31: Assessment in the Clinic P/E Gentle
Page 32 and 33: Treatment ▬ Principles Self-perpe
Page 34 and 35: Management : Chronic Fissure Conser
Page 36 and 37: Management : Chronic Fissure Botuli
Page 38 and 39: Management of Anal Fissure Acute fi
Page 40 and 41: Anal Fistula
Page 42 and 43: Classifications Park’s Classifica
Page 44 and 45: Assessment in Clinic Simple or comp
Page 46 and 47: Keys to Successful Surgery Assess t
Page 48 and 49: Complicated Fistulae Fistula with m
Page 50 and 51: Investigations Define the anatomy A
Page 54 and 55: Principles Eradicate fistula pathol
Page 56 and 57: Seton Drain pus (draining seton) Ma
Page 58: Thank You!

Management of Rectal Prolapse, and Common Anorectal Conditions

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