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Download Clinical Ultrasound in Benign Proctology: 2-D and 3-D Anal, by M. Pescatori, C.I. Bartram, A.P. Zbar, R.J. Nicholls PDF

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By M. Pescatori, C.I. Bartram, A.P. Zbar, R.J. Nicholls

2-D and 3-D anal ultrasound are one of the most up-to-date and complicated instruments to be had for either the prognosis and the administration of anorectal ailments. they're neither dear nor destructive for the sufferers and steadily changed anal mapping with EMG electrodes for the prognosis of sphincter's defects and anismus, which represents approximately 50% of the circumstances of persistent constipation. Anal US may supply the clinician with worthwhile details for either category, analysis and administration of anorectal sepsis, anal incontinence and anorectal-perineal continual ache. virtually any case awarded during this Atlas exhibits either imaging and scientific images, hence permitting either the radiologist and the clinician to evaluate the reliability of the examination and the result of the chosen treatment.

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Extra info for Clinical Ultrasound in Benign Proctology: 2-D and 3-D Anal, Vaginal and Transperineal Techniques

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Each of these secondary features of destructive perirectal sepsis may require reconstrucitve surgery in their own right. Fig. 8a. Anterior fistula and concomitant abscess (arrow) Fig. 8c. Operative field of the same patient showing the intersphincteric dissection of the fistula Fig. 8b. Simultaneous hemorrhoids in the same patient (arrow) M. Pescatori • S. Ayabaca • M. Spyrou • P. De Nardi Chapter 2 21 Fig. 8d. Operative steps of the fistulectomy. Internal opening of the fistula Fig. 8e. The fistulous track has been cored out Fig.

15d. Clinical appearance of the principal perianal abscess and external opening of the fistula M. Pescatori • S. Ayabaca • M. Spyrou • P. De Nardi Chapter 2 25 Fig. 15e. 15f. In this case an internal sphincterotomy was initially performed to drain the intersphincteric plane Fig. 15g. A rectal advancement flap was created as definitive treatment after sphincter repair Fig. 15h. Marsupialization of the abscess wound was employed in this case 26 Chapter 2 Clinical Use of Two-Dimensional Endoanal and Transvaginal Sonography High Trans-Sphincteric Fistula with Ischiorectal and Deep Retroanal Abscess Fig.

A hyperechoic area highlighted by enhanced peroxide hydrogen injected through the external cutaneous orifice, is located above the puborectalis sling in the supralevator space. This area refers to the abscess cavity close to the ileal pouch Fig. 19f. Anal ultrasound showing a diffused irregular internal sphincter (hypoechoic ring) with multiple defects (arrows) which may be related to the sphincter stretch during the transanal procedure of the restorative proctocolectomy. The hyperechoic ring of the external sphincter is intact as the patient is nulliparous Fig.

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