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Essential Anatomy of Anal Continence
Physiology of Anal Continence
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abdominal rectopexy abnormal anaesthetic anal canal anal orifice anal sphincter muscles anastomosis anatomy ano-rectal junction ano-rectal organ ano-rectum anteriorly antibiotics anus assessment bowel catgut catgut stitch catheter closed closure Colon Rectum colostomy complete rectal prolapse constipation continued correction defaecation defect deformity dilation disease divided ectopic opening edges enemas external anal sphincter external sphincter muscle faecal impaction faecal incontinence faeces fibrous tissue forceps function gracilis muscle healing incision incon Indications and Selection infiltration injury lateral levator ani muscle levator muscles lithotomy position lower rectum mobilisation muscular normal nylon Operative Technique pelvic floor peri-anal perineal skin perineum peritoneal physiological plication possible post-anal repair Post-operative Management posterior vaginal wall pre-operatively procedure Prolene puborectalis muscle rectal prolapse rectal wall recto-vaginal fistula recto-vaginal septum rectum removed sacral Selection of Patients sepsis sharp dissection sigmoid colon sling sphincter repair stoma stool Surg surgeon surgery surgical sutures Thiersch tinence tion usually Vicryl wound