Anorectal Injuries

May 14, 2017 by in GASTOINESTINAL SURGERY Comments Off on Anorectal Injuries

Grade Type of injury Description of injury I Hematoma Contusion or hematoma without devascularization Laceration Partial-thickness laceration II Laceration Laceration <50% of circumference III Laceration Laceration >50% of circumference IV…

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Physiology of Defecation

May 14, 2017 by in GASTOINESTINAL SURGERY Comments Off on Physiology of Defecation

Fig. 2.1 Reflex mechanisms involved in defecation process The internal sphincter, the external sphincter, and the levator ani constitute the motor components. The internal sphincter unconsciously maintains continence by its…

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Laparoscopic Sigmoidectomy

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Sigmoidectomy

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsLaparoscopic sigmoidectomyFusion fasciaFascial composition 3.1 Introduction Laparoscopic sigmoidectomy (LapS) involves the basic procedures of the laparoscopic surgery. However, many…

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Laparoscopic Low Anterior Resection of the Rectum

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Low Anterior Resection of the Rectum

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsLaparoscopic low anterior resection of the rectumFascial compositionThe fascia propria of the rectumDenonvilliers’ fascia 4.1 Introduction Outcomes of rectal…

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Laparoscopic Left Colectomy

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Left Colectomy

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsLaparoscopic left colectomyFascial compositionFusion fasciaSubperitoneal fascia 7.1 Introduction In laparoscopic left colectomy (LapLC), the mobilization of the sigmoid colon…

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Laparoscopic Right Colectomy

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Right Colectomy

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsLaparoscopic right colectomyFascial compositionFusion fasciaSubperitoneal fascia 6.1 Introduction In the laparoscopic right colectomy (LapRC) surgical technique (including ileocaecal resection),…

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Laparoscopic Abdominoperineal Resection of the Rectum

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Abdominoperineal Resection of the Rectum

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsLaparoscopic abdominoperineal resection of the rectumCircumferential resection marginWaistingShafix’s conceptKraske operation 5.1 Introduction In the treatment of rectal cancer, the…

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Basic Principles

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Basic Principles

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsColorectal cancerFascial compositionFusion fasciaVascular anatomy of the colon 1.1 Introduction Laparoscopic surgery is generally performed for digestive diseases. Laparoscopic…

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Unresolved Fascial Composition

Apr 22, 2017 by in GASTROENTEROLOGY Comments Off on Unresolved Fascial Composition

(1) Department of Gastrointestinal Surgery, Kameda Medical Center, Kamogawa, Japan   KeywordsFascial compositionSubperitoneal fasciaSato’s concept 9.1 Considerations Regarding the Sites of Unresolved Fascial Composition In the surgical procedure described, those…

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