Read e-book online Transsphincteric Surgery of the Rectum: Topographical PDF

By A. Huber,A.H.C.v. Hochstetter,M. Allgöwer,T.C. Telger

greater than a century in the past, Cripps effectively hired the direct and entire department of the anal sphincters as a method of imminent the reduce rectum and anal canal, and pronounced on a chain of 36 sufferers who were handled in that style. Cripps used to be pleasantly stunned to discover stable fecal continence in over two-thirds of the sufferers in the course of later follow-ups, although the divided sphincters had now not been repaired. The transsphincteric approach was once mostly forgotten in next years, in spite of the fact that, and purely the parasacral proctotomy of Kraske, which spared the anal sphincters, should be stated to have won a longtime position within the" surgical armamentarium. " It remained for York Mason to redirect the eye of the surgical neighborhood to the good power of the trans­ sphincteric procedure and the wonderful continence that may be completed via sufficient fix of the divided sphincters. Having famous the phenomenal sensible price of this process, we felt it essential to outline extra exactly the anatomical necessities that might be certain minimal operative bleeding, and to deliver the process extra based on present wisdom of ordinary continence and defecation. Dr. A. Huber, in session with the director of the Institute for medical Anatomy of our surgical division, Prof. A. von Hochstetter, did many months of dissection paintings on clean anatomic arrangements with a purpose to discover and refine many of the facets of the trans sphincteric ap­ proach.

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Transsphincteric Surgery of the Rectum: Topographical Anatomy and Operation Technique by A. Huber,A.H.C.v. Hochstetter,M. Allgöwer,T.C. Telger

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