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Rectum and Anus Anatomy and Embryology
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Rectum and Anus Anatomy and Embryology
1.
Rectum and anus
Celso M. Fidel, MD, FPCS, FPSGS Diplomate Philippine Board of Surgery
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ARTERIAL SUPPLY MCA
IMA SMA LCA SRA Sig. A ICA RCA
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Marginal artery of
Drummond
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LYMPHATIC DRAINAGE
14.
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THE ANORECTUM VALVES
OF HOUSTON DENTATE LINE ANAL SPHINCTERS ANAL VERGE HEMORRHOIDAL Plx.
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ARTERIAL SUPPLY MCA
IMA SMA LCA SRA Sig. A ICA RCA
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RECTAL POLYPS SESSILE
PEDUNCULATED
106.
CASE: MULTIPLE COLORECTAL
POLYPS CLINICAL PRESENTATION BARIUM ENEMA
107.
CASE: MULTIPLE COLORECTAL
POLYPS LOCATION OF COLORECTAL POLYPS
108.
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CASE: POST- SURGICAL
RESECTION
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Right Anterior Right
Posterior Left Lateral 3 MAJOR PILES
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HEMORRHOIDAL DISEASE A
P L R Primary Locations 3-7-11 o’clock positons (Left Lateral, Right Anterior and Right Posterior)
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Retrograde View from
Colonoscopy Hemorrhoids
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Hemorrhoidectomy Rubber Band
Ligation Harmonic Scalpel
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Hemorrhoidectomy Stapler Technique
Ferguson or Excision
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Salmon Goodsalls rule:
Anterior - straight tracts Posterior- curved tracts Exception: > 3cm curved Fistula in Ano
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Fistula in Ano
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COMPLICATED
FISTULA IN ANO
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Fissure in Ano
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Distribution of Cancer
: Left side total = 81 %
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narrowing
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Proctosigmoidoscopy
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Colonoscopy
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Is there any
role for surgery in patients with liver metastasis? In highly selected patients with less than four metastasis and no evidence of any other disease ( no local recurrence or further metastasis )
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Colostomy
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