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Transsphinktere Rektumchirurgie

Topographische Anatomie und Operationstechnik

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  • 86pagine
  • 4 ore di lettura

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More than a century ago, Cripps introduced the direct division of the anal sphincters to access the lower rectum and anal canal, reporting positive outcomes in 36 patients, with over two-thirds maintaining good fecal continence despite no repair of the sphincters. However, this transsphincteric procedure was largely overlooked in favor of the Kraske parasacral proctotomy, which preserved the anal sphincters. York Mason later revived interest in the transsphincteric approach, highlighting its potential for achieving excellent continence through proper repair of the divided sphincters. Recognizing the practical value of this technique, we aimed to clarify the anatomical prerequisites necessary to minimize operative bleeding and align the procedure with contemporary understanding of normal continence and defecation. Dr. A. Huber, in collaboration with Prof. A. von Hochstetter, conducted extensive dissection work on fresh anatomical preparations to explore and refine the various aspects of the transsphincteric approach.

Acquisto del libro

Transsphinktere Rektumchirurgie, Andreas Huber, Martin Allgöwer, Arthur H. C. von Hochstetter

Lingua
Pubblicato
1983
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Metodi di pagamento

Titolo
Transsphinktere Rektumchirurgie
Sottotitolo
Topographische Anatomie und Operationstechnik
Lingua
Tedesco
Editore
Springer
Pubblicato
1983
Formato
Copertina rigida
Pagine
86
ISBN10
3540125833
ISBN13
9783540125839
Serie
Descrizione
More than a century ago, Cripps introduced the direct division of the anal sphincters to access the lower rectum and anal canal, reporting positive outcomes in 36 patients, with over two-thirds maintaining good fecal continence despite no repair of the sphincters. However, this transsphincteric procedure was largely overlooked in favor of the Kraske parasacral proctotomy, which preserved the anal sphincters. York Mason later revived interest in the transsphincteric approach, highlighting its potential for achieving excellent continence through proper repair of the divided sphincters. Recognizing the practical value of this technique, we aimed to clarify the anatomical prerequisites necessary to minimize operative bleeding and align the procedure with contemporary understanding of normal continence and defecation. Dr. A. Huber, in collaboration with Prof. A. von Hochstetter, conducted extensive dissection work on fresh anatomical preparations to explore and refine the various aspects of the transsphincteric approach.