(Anorectum Anorectum)
|
|
- Jonathan Hodge
- 8 years ago
- Views:
Transcription
1 Surgical anatomy (Anorectum Anorectum) Surgery of the anorectum and the perianal region in small animals Dr. T. Németh, DVM, PhD Associate Professor Surgical anatomy (Anorectum Anorectum) Surgical anatomy (Perineum) Zona cutanea Circumanal glands Anal sacs Zona intermedia Zona columnaris Linea anorectalis m. coccygeus m. levator ani m. sphincter ani ext. m. sphincter ani int. m. obturatorius int. a., v. pudenda int. n. pudendus General diagnostic considerations of the anorectal and perianal diseases I. General diagnostic considerations of the anorectal and perianal diseases II. Anamnesis generally chronic history tenesmus in defecation fecal deviation local signs (pruritus, formal deviation ) General signs (alimentary, septicus ) Physical examination inspection palpation superficial rectal (RDP) 1
2 General diagnostic considerations of the anorectal and perianal diseases III. Suppl. examinations Bloodwork, urinalysis (gen. state) Fine needle aspirate/cytology (tumours tumours) X-ray / pos. contrast rectogr., cystogr. (rectal fistulation, perineal hernia) Rectoscopy (rectal US (perineal hernia CT / MRI rectal tumours) hernia/prostate prostate, perineal tumour/lnn lnn.) General considerations of anorectal and perianal surgery I. Preoperative duties evacuation of rectum (enema) antimicrobial prophylaxis enteral parenteral General considerations of anorectal and perianal surgery II. General considerations of anorectal and perianal surgery III. Surgery atraumatic handling preservation of ext. anal sphincter ani monophil suture materials Postoperative duties Parenteral / enteral feeding / diet analgesia cont. of antibacterial therapy protection of operation site (collar, cleaning) Most important diseases of the region Anal sacculitis Perianalis fistula Anal and rectal tumours Incidence result of diseases with defecation tenesmus of frequent defecation commonly in combination with intussusception 2
3 assesment of vitality of the prolapsed gut reponability (?) diagnosis of the primary disease (enteritis) Treatment of primary disease 1. reposition purse string suture Treatment of primary disease 1. reposition purse string suture Treatment of primary disease 1. reposition purse string suture Treatment of primary disease 1. reposition purse string suture Treatment of primary disease 1. reposition purse string suture 3
4 Treatment of primary disease 1. reposition purse string suture Treatment of primary disease 1. reposition purse string suture 2 reposition colopexy ( pull through ) Rectal resection Pull-through Rectal resection Pull-through Rectal resection Pull-through Rectal resection Pull-through 4
5 Rectal resection Pull-through Incidence mainly in dogs primary or secondary combined with allergodermatitis Local signs Increased amount of content Local irritation abscess / phlegmone / cyst Systemic signs pruritus septic signs allergic reactions conservative surgical Surgery (anal sacculectomy) Conservative therapy precise evacuation of the sac (rectally!!!) parenteral antibiotics analgesia/nsaids closed open 5
6 Surgery (anal sac removal) Surgery (anal sac removal) Incidence / Aetiology in German shepherd and its mongrels Irish setter, Labrador, Collie uncertain aetiology: immune-mediated mediated (autoimmune autoimmune) Decreased activity of mucosal and circulating IgA hyperaktív local immuniy (IgA, IgG, B-and T-lymphocytes lymphocytes, CD3+, macrophages, plasma cells, IL-2, INF-γ) concurrent chronic colitis Analogy with human Crohn s-disease (?) breed typical chronic, non- healing, recurring analis fistulous tract concurrent colitis breed typical chronic, non- healing, recurring analis fistulous tract concurrent colitis Currently no effective causative treatment!!! 6
7 conservative (!!!) surgical (!?) Conservative therapy (!!!) Protocol #1 (Michigan State University) diet Prednisolone Azathioprine Protocol #2 (Ontario Veterinary College) diet Cyclosporine Protocol #3 #1 or #2 + Tacrolimus ointment topically Surgery Previous failed techniques cryo-surgery (UK) soft laser tail amputation (USA) castration (???) Current surgical recommendation Anoplasty fistulectomy paraproctectomy cryptectomy (zona columnaris) Anal / Incidence hepatoid circumanal gland tumours (hyperplasia, adenoma, anapl. carcinoma) in male dogs Anal sac tumours (adenocarcinoma) in female dogs rectal adenoma / adenocarcinoma Hepatoid circumanal tumours in male dogs testosterone dependency multilocal perianal lumps (anus anus, base of tail) common ulceration RDP fine needle aspirates / cytology Hepatoid circumanal tumours in male dogs testosterone dependency multilocal perianal lumps (anus, base of tail) common ulceration RDP fine needle aspirates / cytology 7
8 Hepatoid circumanal tumours in male dogs testosterone dependency multilocal perianal lumps (anus, base of tail) common ulceration RDP fine needle aspirates / cytology Hepatoid circumanal tumours castration (!) (oestrogen inj.) excision of tumour histopath (!) postop. antibiotics local cleansing Hepatoid circumanal tumours castration (!) (oestrogen inj.) excision of tumour histopath (!) postop. antibiotics local cleansing bloody feces tenesmus RDP (pelvic lymphonodes) rectoscopy (US) cytology pull-open excision of tumour (electrocautery) histopath. antibiotics diet 8
9 9
10 Dorsally positioned intrapelvic localisation: dorsal rectal approach Laterally positioned intrapelvic localisation: lateral rectal approach Caudal intrapelvic localisation: pull pull-through through rectum resection Cranial intrapelvic localisation: ventral rectal approach with pubic osteotomy 10
Buddy, a 6-year-old, neutered, mixed-breed dog weighing
Jason Pieper, DVM Lindsay McKay, DVM, DACVD Abstract: Perianal fistulas are a chronic, debilitating disease that requires lifelong monitoring and, potentially, lifelong treatment. Lesions are characterized
More informationFecal Incontinence. What is fecal incontinence?
Scan for mobile link. Fecal Incontinence Fecal incontinence is the inability to control the passage of waste material from the body. It may be associated with constipation or diarrhea and typically occurs
More informationPerianal Abscess and Fistula-in-ano. Background
Perianal Abscess and Fistula-in-ano Background Anorectal abscesses are some of the more common anorectal conditions encountered, and they are potentially debilitating conditions. The current theory as
More informationRadiation Therapy for Prostate Cancer
Radiation Therapy for Prostate Cancer Introduction Cancer of the prostate is the most common form of cancer that affects men. About 240,000 American men are diagnosed with prostate cancer every year. Your
More informationWhat to Expect from Intestinal Ultrasonography
261) What to Expect from Intestinal Ultrasonography Červenková J., Steyerová P. Charles University in Prague, First Faculty of Medicine and General Teaching Hospital, Department of Radiology, Prague, Czech
More informationThe Work Up of Pelvic Floor Dyssynergia and Fecal Incontinence. Gina R. Sam, MD/MPH Director, Mount Sinai Gastrointestinal Motility Center
The Work Up of Pelvic Floor Dyssynergia and Fecal Incontinence Gina R. Sam, MD/MPH Director, Mount Sinai Gastrointestinal Motility Center Constipation Overview Constipation Normal Transit Constipation
More informationPrevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula
Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a
More informationBilling Guideline. Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16
Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16 Billing Guideline Background Health First administers benefit packages with full coverage
More informationPCA3 DETECTION TEST FOR PROSTATE CANCER DO YOU KNOW YOUR RISK OF HAVING CANCER?
PCA3 DETECTION TEST FOR PROSTATE CANCER DO YOU KNOW YOUR RISK OF HAVING CANCER? PCA3 DETECTION TEST FOR PROSTATE CANCER There is a range of methods available to your healthcare professional to verify the
More informationSTATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE VSCT 115 FUNDAMENTAL VETERINARY NURSING SKILLS II
STATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE VSCT 115 FUNDAMENTAL VETERINARY NURSING SKILLS II Prepared By: Sophia C. Theodore, DVM SCHOOL OF SCIENCE, HEALTH & CRIMINAL
More informationTreatment of Fistula in Ano. Johanna Basa M.D. SUNY Downstate Medical Center August 2, 2012
Treatment of Fistula in Ano Johanna Basa M.D. SUNY Downstate Medical Center August 2, 2012 Case Presentation HPI:54 yr old male with PMH of HTN, presented to clinic with complaints of 3rd perianal abscess
More informationAntimicrobial Prophylaxis for Transrectal Prostate Biopsy: Organizational Recommendations. J. Stuart Wolf, Jr., M.D.
Antimicrobial Prophylaxis for Transrectal Prostate Biopsy: Organizational Recommendations J. Stuart Wolf, Jr., M.D. Department of Urology University of Michigan Ann Arbor, MI Official Recommendations for
More informationEVIDENCE BASED TREATMENT OF CROHN S DISEASE. Dr E Ndabaneze
EVIDENCE BASED TREATMENT OF CROHN S DISEASE Dr E Ndabaneze PLAN 1. Case presentation 2. Topic on Evidence based Treatment of Crohn s disease - Introduction pathology aetiology - Treatment - concept of
More informationRotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma
Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History
More informationNavigating Anorectal Anatomy: Terms, Planes, Spaces, Structures
Navigating Anorectal Anatomy: Terms, Planes, Spaces, Structures Lawrence M. Witmer, PhD Lawrence M. Witmer, PhD Department of Biomedical Sciences College of Osteopathic Medicine Ohio University Athens,
More informationTherapies for Prostate Cancer and Treatment Selection
Prostatic Diseases Therapies for Prostate Cancer and Treatment Selection JMAJ 47(12): 555 560, 2004 Yoichi ARAI Professor and Chairman, Department of Urology, Tohoku University Graduate School of Medicine
More informationLaparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?
Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a
More informationAnal Surgery. Colon and Rectal Surgery. Surgery of the Anus. Hemorrhoids Fistula Fissure Abscess
Anal Surgery and Colon and Rectal Surgery Elizabeth J. McConnell MD FACS FASCRS Surgery of the Anus Hemorrhoids Fistula Fissure Abscess 1 Hemorrhoid Internal or External 1-3 columns Internal Band or Suture
More informationUrinary Incontinence. Anatomy and Terminology Overview. Moeen Abu-Sitta, MD, FACOG, FACS
Urinary Incontinence Anatomy and Terminology Overview Moeen Abu-Sitta, MD, FACOG, FACS Purpose Locate and describe the anatomy of the Female Urinary System Define terminology related to Incontinence Describe
More informationLaparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions
Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions What are the Colon and Rectum? The colon and rectum together make up the large intestine. After
More informationThere are many different types of cancer and sometimes cancer is diagnosed when in fact you are not suffering from the disease at all.
About Cancer Cancer is a disease where there is a disturbance in the normal pattern of cell replacement. The cells mutate and become abnormal or grow uncontrollably. Not all tumours are cancerous (i.e.
More informationUrinary tract and perineum
9 Urinary tract and perineum Key Points 9.1 9.1 THE URINARY BLADDER URINARY RETENTION Acute retention of urine is an indication for emergency drainage of the bladder The common causes of acute retention
More informationLaparoscopic Ventral Rectopexy
Laparoscopic Ventral Rectopexy Patient information leaflet What is a laparoscopic ventral rectopexy? It is a keyhole operation, performed whilst you are asleep; the rectum is suspended back into its normal
More informationHemorrhoids and Varicose Veins: A Review of Treatment Options Alternative Medicine Review, April, 2001 by Douglas MacKay
Hemorrhoids and Varicose Veins: A Review of Treatment Options Alternative Medicine Review, April, 2001 by Douglas MacKay Abstract Hemorrhoids and varicose veins are common conditions seen by general practitioners.
More informationShort Course, Pre-operative Radiotherapy for Bowel Cancer
Short Course, Pre-operative Radiotherapy for Bowel Cancer Patient Information Introduction This leaflet tells you about short course, pre-operative radiotherapy for the treatment of bowel cancer. It explains
More informationActicon. Neosphincter. Getting Back to Life. Information Guide treatment for fecal incontinence
Acticon Neosphincter Information Guide treatment for fecal incontinence Getting Back to Life Introduction If you suffer from loss of bowel control, you are not alone. Did you know that over 2% of the worldwide
More informationPatient information regarding care and surgery associated with ULCERATIVE COLITIS
Patient information regarding care and surgery associated with ULCERATIVE COLITIS by: Robert K. Cleary, M.D., John C. Eggenberger, M.D., Amalia J. Stefanou, M.D. location: Michigan Heart & Vascular Institute,
More informationCMScript. Member of a medical scheme? Know your guaranteed benefits! Issue 7 of 2014
Background CMScript Member of a medical scheme? Know your guaranteed benefits! Issue 7 of 2014 Prostate cancer is second only to lung cancer as the leading cause of cancer-related deaths in men. It is
More informationVeterinary Oncology: The Lumps We Hate To Treat
Veterinary Oncology: The Lumps We Hate To Treat Michelle Turek, DVM, DACVIM (Oncology), DACVR (Radiation Oncology) College of Veterinary Medicine University of Georgia Athens, GA Veterinary Oncology Veterinary
More informationIrish Wolfhound Pedigree Breed Health Survey
Irish Wolfhound Pedigree Breed Health Survey Forms were received representing 74 living dogs & 32 deceased dogs. Mortality results A total of 32 deaths were reported, representing 0.57% of all deaths reported
More informationPlacement of an indwelling urinary catheter in female dogs
Female Dog Urinary Catheterization 1 of 6 Placement of an indwelling urinary catheter in female dogs Bernie Hansen DVM MS North Carolina State University College of Veterinary Medicine Materials Needed
More informationBasic Laparoscopy and Lap. Suturing and Stapling course Course Contents
Online Courses on Laparoscopic GI Surgery for GISurgery.info Lap Skills course Harshad Soni 1. Basic Laparoscopy and Lap. Suturing and Stapling course H. Soni 2. Laparoscopic UGI Surgery Course J Mistry
More informationLung Cancer. Public Outcomes Report. Submitted by Omar A. Majid, MD
Public Outcomes Report Lung Cancer Submitted by Omar A. Majid, MD Lung cancer is the most common cancer-related cause of death among men and women. It has been estimated that there will be 226,1 new cases
More informationUnderstanding Laparoscopic Colorectal Surgery
Understanding Laparoscopic Colorectal Surgery University Colon & Rectal Surgery A Problem with Your Colon Your doctor has told you that you have a colon problem. Now you ve learned that surgery is needed
More informationAnorectal Abscess and Fistula
Anorectal Abscess/Fistula by: Robert K Cleary MD, John C Eggenberger MD, Amalia J Stefanou, MD location: Michigan Heart & Vascular Institute, 5325 Elliott Dr, Suite 104 mailing address: PO Box 974, Ann
More informationColorectal cancer. A guide for journalists on colorectal cancer and its treatment
Colorectal cancer A guide for journalists on colorectal cancer and its treatment Contents Contents 2 3 Section 1: Colorectal cancer 4 i. What is colorectal cancer? 4 ii. Causes and risk factors 4 iii.
More informationDiagnosis and Treatment of Perianal Crohn Disease: NASPGHAN Clinical Report and Consensus Statement
CLINICAL REPORT Diagnosis and Treatment of Perianal Crohn Disease: NASPGHAN Clinical Report and Consensus Statement Edwin F. de Zoeten, z Brad A. Pasternak, Peter Mattei, Robert E. Kramer, and y Howard
More informationStatement of Principles concerning PRURITUS ANI
Instrument No.41 of 1996 Determination of Statement of Principles concerning PRURITUS ANI ICD CODE: 698.0 Veterans Entitlements Act 1986 1. This Statement of Principles is determined by the Repatriation
More informationComplications that may occur with ulcerative colitis:
Ulcerative Colitis What is ulcerative colitis? Ulcerative colitis is one of the major forms of inflammatory bowel disease. The other major form is Crohn s disease. Ulcerative colitis is felt to be due
More informationRESPIRATORY DISEASE IN CAPTIVE ORANGUTANS
By Megan Fox Los Angeles Zoo and Botanical Gardens RESPIRATORY DISEASE IN CAPTIVE ORANGUTANS OVERVIEW RESPIRATORY DISEASE WHAT WE KNOW IMPACT OF RESPIRATORY DISEASE IN THE LIVES OF ORANGUTANS RESPIRATORY
More informationAcute abdominal conditions Key Points
7 Acute abdominal conditions Key Points 7.1 ASSESSMENT AND DIAGNOSIS Referred abdominal pain Fore gut pain (stomach, duodenum, gall bladder) is referred to the upper abdomen Mid gut pain (small intestine,
More informationImmune-Mediated Low Platelet or Thrombocyte Count
rally is Customer Name, Street Address, City, State, Zip code Phone number, Alt. phone number, Fax number, e-mail address, web site Immune-Mediated Low Platelet or Thrombocyte Count (Thrombocytopenia)
More informationGuide to Abdominal or Gastroenterological Surgery Claims
What are the steps towards abdominal surgery? Investigation and Diagnosis It is very important that all necessary tests are undertaken to investigate the patient s symptoms appropriately and an accurate
More informationColon, Rectum, and Anus. South College PA Surgical Course
Colon, Rectum, and Anus South College PA Surgical Course Colon and Rectum Terminal portion of GI tract Two functions Absorption of water, electrolytes Storage of feces Biologically not essential Disease
More informationColic is one of the most dreaded conditions horse owners and trainers encounter with
Impaction Colic and Hydration Michele Frazer, DVM, DACVIM, DACVECC Impaction Colic Colic is one of the most dreaded conditions horse owners and trainers encounter with their horses. The term colic, however,
More informationThe enigma of the transsphincteric anal fistula. Per-Olof Nyström, M.D., Ph.D. Karolinska University Hospital, Stockholm, Sweden
The enigma of the transsphincteric anal fistula Per-Olof Nyström, M.D., Ph.D. Karolinska University Hospital, Stockholm, Sweden Four principles of treatment for anal fistula 1. Inactivate the fistula 2.
More information11/10/2014. I have nothing to Disclose. Covered Stents discussed are NOT FDA approved for the indications covered in my presentation
I have nothing to Disclose Ramsey Dallal, MD, FACS Vice Chair Department of Surgery Chief Bariatric i and Minimally i Invasive Surgery Einstein Healthcare Network Nemacolin, PA 2014 Covered Stents discussed
More informationDisease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung
More informationUnderstanding Colitis and Crohn s Disease
Improving life for people affected by Colitis and Crohn s Disease Understanding Colitis and Crohn s Disease 1 Understanding Colitis and Crohn s Disease Understanding Ulcerative Colitis and Crohn s Disease...
More informationHow common is bowel cancer?
information Primary Care Society for Gastroenterology Bowel Cancer (1 of 6) How common is bowel cancer? Each year 35,000 people in Britain are diagnosed with cancer of the bowel, that is to say cancer
More informationThe various anatomical forms of feline lymphoma (mediastinal, alimentary, renal, multicentric and extranodal) have been well described.
Decision Making in Feline Cancer Patients David J. Argyle, BVMS, PhD, DECVIM-CA (Oncology), MRCVS Royal (Dick) School of Veterinary Studies Hospital for Small Animals Easter Bush, Midlothian, UK Introduction
More informationBard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers
Bard: Prostate Cancer Treatment Bard: Pelvic Organ Prolapse Prostate Cancer An overview of Pelvic Treatment Organ Prolapse Information and Answers A Brief Overview Prostate Anatomy The prostate gland,
More informationLIVER CANCER AND TUMOURS
LIVER CANCER AND TUMOURS LIVER CANCER AND TUMOURS Healthy Liver Cirrhotic Liver Tumour What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood
More informationORAL MAXILLO FACIAL SURGERY REFERRAL RECOMMENDATIONS
ORAL MAXILLO FACIAL SURGERY REFERRAL RECOMMENDATIONS Diagnosis / Symptomatology Evaluation Management Options Referral Guidelines General problems include: Soft tissue conditions of the face and oral cavity
More informationCHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc.
Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs
More informationThe recommendations made throughout this book are by the National Health and Medical Research Council (NHMRC).
INTRODUCTION This book has been prepared for people with bowel cancer, their families and friends. The first section is for people with bowel cancer, and is intended to help you understand what bowel cancer
More information23 Anorectal Cancer Jean-Jacques Mazeron, Erik Van Limbergen,
23 Anorectal Cancer Jean-Jacques Mazeron, Erik Van Limbergen, 1 Introduction Carcinomas of the anorectal region are subdivided into three groups according to their anatomical site: tumours of the anal
More informationNeoplasms of the LUNG and PLEURA
Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:
More informationTone Up Your Pelvic Floor. A regular pelvic floor exercise ( Kegel ) routine can prevent symptoms before, during, and after childbirth.
Will Breastfeeding Affect Incontinence and Pelvic Symptoms? Yes, often for as long as you re nursing. Many breastfeeding women are unaware that a natural drop in estrogen which persists for as long as
More informationPolicy S:PC-2110 v15. Fairview Health Services Department Laboratory / Nursing Laboratory Acute Care: Section Collection Category Provision of Care
Fairview Health Services Department Laboratory / Nursing Laboratory Acute Care: Section Collection Category Provision of Care Subject URINE COLLECTION, RANDOM/CATHETER/OTHER Purpose Provide instructions
More informationFax: Person(s) to contact:
Joliet Junior College Veterinary Medical Technology Program Externship site Information Sheet (This information is keep in a binder for students to read and help them decide on an externship site) Practice
More informationPromoting recovery after sustaining a third and fourth degree tear
Promoting recovery after sustaining a third and fourth degree tear Women s Health Physiotherapy Patient Information Page 2 Promoting recovery after sustaining a third and fourth degree tears What has happened?
More informationCURRICULUM VITAE DONALD B. COLVIN, M.D., FACS, FASCRS. Fairfax Colon and Rectal Surgery 2710 Prosperity Ave. Suite #200 Fairfax, VA 22031 703-280-2841
CURRICULUM VITAE DONALD B. COLVIN, M.D., FACS, FASCRS Fairfax Colon and Rectal Surgery 2710 Prosperity Ave. Suite #200 Fairfax, VA 22031 703-280-2841 CERTIFICATION: EDUCATION: PROFESSIONAL EXPERIENCE:
More informationUNDERSTANDING THE PROCEDURE FOR PROLAPSE AND HEMORRHOIDS
UNDERSTANDING THE PROCEDURE FOR PROLAPSE AND HEMORRHOIDS AN ALTERNATIVE APPROACH TO THE SURGICAL TREATMENT OF HEMORRHOIDS pphinfo.com Identifying Patients for PPH Procedure for Prolapse and Hemorrhoids
More information1.6 Spider naevi These are skin blood vessels which have become enlarged to form spidery red blobs in the skin. They can be cauterised away.
MINOR SURGERY 1 MINOR SKIN CONDITIONS...1 1.1 Skin tags...1 1.2 Moles...2 1.3 Warts...2 1.4 Sebaceous cysts...3 1.5 Lipomas...4 1.6 Spider naevi...4 1.7 Basal Cell Carcinomas (rodent ulcers or BCCs)...4
More informationAn advanced diagnostic
Pelvi-perineal myofascial syndromes: clinical presentation, differential diagnosis and electrophysiological characteristics An advanced diagnostic Dr. Zarza Dr. Itza There's an elephant in this room What
More informationFrozen Section Diagnosis
Frozen Section Diagnosis Dr Catherine M Corbishley Honorary Consultant Histopathologist St George s Healthcare NHS Trust and lead examiner final FRCPath Practical 2008-2011 Frozen Section Diagnosis The
More informationInformation and advice following placement of seton for anal fistula
Oxford University Hospitals NHS Trust Information and advice following placement of seton for anal fistula page 2 What is a fistula? You can get an anal fistula as a result of an infection or a collection
More informationDISEASES OF THE DIGESTIVE SYSTEM
DISEASES OF THE DIGESTIVE SYSTEM DISEASES OF ORAL CAVITY, SALIVARY GLANDS AND JAWS (520-529.9) 520 DISORDERS OF TOOTH DEVELOPMENT AND ERUPTION 520.0 ANODONTIA 520.1 SUPERNUMERARY TEETH 520.2 ABNORMALITIES
More informationChapter 6 Gastrointestinal Impairment
Chapter 6 Gastrointestinal This chapter consists of 2 parts: Part 6.1 Diseases of the digestive system Part 6.2 Abdominal wall hernias and obesity PART 6.1: DISEASES OF THE DIGESTIVE SYSTEM Diseases of
More informationColorectal Cancer: Preventable, Beatable, Treatable. American Cancer Society
Colorectal Cancer: Preventable, Beatable, Treatable American Cancer Society Reviewed January 2013 What we ll be talking about How common is colorectal cancer? What is colorectal cancer? What causes it?
More informationA PARENT S GUIDE. Caring for a Child with Crohn s or Colitis
A PARENT S GUIDE Caring for a Child with Crohn s or Colitis WHAT NOW? CROHN S & COLITIS: IBD not IBS Your child has been diagnosed with Crohn s disease or ulcerative colitis, or perhaps an indeterminate
More informationFistula-tract Laser Closure (FiLaC TM ): long-term results and new operative strategies
DOI 10.1007/s10151-015-1282-9 ORIGINAL ARTICLE Fistula-tract Laser Closure (FiLaC TM ): long-term results and new operative strategies P. Giamundo L. Esercizio M. Geraci L. Tibaldi M. Valente Received:
More informationGastrointestinal Bleeding
Gastrointestinal Bleeding Introduction Gastrointestinal bleeding is a symptom of many diseases rather than a disease itself. A number of different conditions can cause gastrointestinal bleeding. Some causes
More informationDept. of Medical Imaging University of Ottawa
ED Visits Related to Bariatric Surgery: Review of Normal Post-Surgical Anatomy as Well as Complications Dept. of Medical Imaging University of Ottawa Disclosures Background Roux-en-Y Gastric Bypass Surgery
More informationA918: Prostate: adenocarcinoma
A918: Prostate: adenocarcinoma General facts of prostate cancer The prostate is about the size of a walnut. It is just below the bladder and in front of the rectum. The tube that carries urine (the urethra)
More informationProstate Cancer Treatment
Scan for mobile link. Prostate Cancer Treatment Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam,
More informationWhat to Expect While Receiving Radiation Therapy for Prostate Cancer
What to Expect While Receiving Radiation Therapy for Prostate Cancer Princess Margaret Information for patients who are having radiation therapy Read this pamphlet to learn about: The main steps in planning
More informationAlan Rosenberg, MD VP Medical Policy, Technology Assessment and Credentialing WellPoint, Inc. 233 S. Wacker Drive, Suite 3900 Chicago, IL 60606
October 5, 2010 Alan Rosenberg, MD VP Medical Policy, Technology Assessment and Credentialing WellPoint, Inc. 233 S. Wacker Drive, Suite 3900 Chicago, IL 60606 Dear Dr. Rosenberg, The American Gastroenterological
More informationCanine Lymphoma Frequently Asked Questions by Pet Owners
Canine Lymphoma Frequently Asked Questions by Pet Owners What is lymphoma? The term lymphoma describes a diverse group of cancers in dogs that are derived from white blood cells called lymphocytes. Lymphocytes
More information11/4/2014. Colon Cancer. Han Koh, MD Medical Oncology Downey Kaiser. 2 nd overall leading cause of cancer death in the United States.
Colon Cancer Han Koh, MD Medical Oncology Downey Kaiser 2 nd overall leading cause of cancer death in the United States 3 rd in each sex Approximately 6% of individuals in the US will develop a cancer
More informationWorkbook STD Clinic Billing Coding Evaluation & Management Visits
Workbook STD Clinic Billing Coding Evaluation & Management Visits Developed by the University of Rochester Center for Health & Behavioral Training Capacity Building Assistance (CBA) Adapted from 1997 CMS
More informationTimby/Smith: Introductory Medical-Surgical Nursing, 9/E
Timby/Smith: Introductory Medical-Surgical Nursing, 9/E Chapter 59: Caring for Female Clients With Disorders of the Pelvic Reproductive Structures Slide 1 A Nurse s Role in All Reproductive Disorders Nurse
More informationPSA Screening for Prostate Cancer Information for Care Providers
All men should know they are having a PSA test and be informed of the implications prior to testing. This booklet was created to help primary care providers offer men information about the risks and benefits
More informationCritically evaluate the organization of diabetic foot ulcer services and interdisciplinary team working
Rationale of Module Accurate nursing assessment is the key to effective diabetic foot ulcer prevention, treatment and management. A comprehensive assessment identifies ulcer aetiology and the factors which
More information5. Secretion: release of water, acids. Enzymes, buffers by digestive tract.
Digestive System CH-16 Lecture topics Functions of the digestive system: p. 488. 1. Ingestion: Taking food in 2. Propulsion: movement of food thru alimentary canal p.490. voluntary: swalloing : skeletal
More informationWOOD COUNTY SCHOOL OF PRACTICAL NURSING. Medical/Surgical Nursing: Reproductive
WOOD COUNTY SCHOOL OF PRACTICAL NURSING Medical/Surgical Nursing: Reproductive Time: 19 Hours Theory; 1 Hour Pharmacology IV, (1 Diet Therapy - Integrated.) Placement: Nursing IV. Instructor: Toni Tennant,
More informationThe best treatment Your guide to breast cancer treatment in Scotland
The best treatment Your guide to breast cancer treatment in Scotland If you are looking for information on secondary breast cancer treatment, please see Breast Cancer Now s website: breastcancernow.org/
More informationLIFT : A New approach to anal fistula Ligation of Intersphincteric FistulaTract
LIFT : A New approach to anal fistula Ligation of Intersphincteric FistulaTract Charles TSANG Division of Colorectal Surgery, National University Health System drcharlestsang@gmail.com Evolution in the
More information2015 Clinical Education Course Catalog
2015 Clinical Education Course Catalog 1 Table of Contents and Course Objectives The objective of Sandhill University is to provide clinical users with the knowledge and skills necessary to effectively
More informationUMBILICAL SURGERY IN CALVES
UMBILICAL SURGERY IN CALVES Sylvain Nichols, DVM, MS, Diplomate ACVS Professor of Farm Animal Surgery Department of Clinical Sciences Faculté de Médecine Vétérinaire University of Montréal St-Hyacinthe,
More informationSymptoms of constipation are extremely common; the
GASTROENTEROLOGY 2000;119:1761 1778 AMERICAN GASTROENTEROLOGICAL ASSOCIATION American Gastroenterological Association Medical Position Statement: Guidelines on Constipation This document presents the official
More informationOncology Quarterly. Corky and Kaylee Smith
Oncology Quarterly Volume 2 Winter 2007 Corky and Kaylee Smith For Richard and Monica Smith, it started simply as a small area of hair loss on their eight yearold Shetland Sheepdog, Corky s, left tarsus.
More informationProstate Cancer. What is prostate cancer?
Scan for mobile link. Prostate Cancer Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam, prostate-specific
More informationGuidelines for Spay/Neuter
Guidelines for Standards of Care in Animal Shelters Guidelines for Spay/Neuter Cynthia Barker Cox, DVM MSPCA Boston, MA Natalie Isaza, DVM College of Veterinary Medicine University of Florida Guidelines
More informationUrethral Catheterization in the Female Dog Made Easy Jamie M. Burkitt-Creedon, DVM, Dipl. ACVECC, Critical Consultations
Urethral Catheterization in the Female Dog Made Easy Jamie M. Burkitt-Creedon, DVM, Dipl. ACVECC, Critical Consultations Urethral catheterization in the female dog is a straightforward, useful procedure
More informationUrinary Tract Infections
1 Infections in the urinary tract are relatively common. These infections are often referred to as bladder infections. They are also known as UTI s or urinary tract infections. When an infection is confined
More informationprostate cancer: A Success Story
prostate cancer: A Success Story Prostate cancer is the most common cancer in human beings. That is, even though prostate cancer occurs only in men, the number of men with prostate cancer exceeds the combined
More informationAcute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose
Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology
More informationInflammatory Bowel Disease. (Ulcerative Colitis and Crohn s Disease)
Ministry of Defence Synopsis of Causation Inflammatory Bowel Disease (Ulcerative Colitis and Crohn s Disease) Authors: Dr Hazel Younger, Ninewells Hospital and Medical School, Dundee and Dr Craig Mowat,
More information