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Stapled Hemorrhoidopexy
Stapled hemorrhoidopexy is a surgical procedure that involves the cutting and removal of anal hemorrhoidal vascular cushion, whose function is to help to seal stools and create continence. Procedure also removes abnormally enlarged hemorrhoidal tissue, followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position. Severe cases of hemorrhoidal prolapse will normally require surgery. Newer surgical procedures include stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH). Both STARR and PPH are contraindicated in persons with either enterocele or anismus. This procedure is for internal hemorrhoids only and not for external hemorrhoids or anal fissures. During the procedure the external anal sphincter muscle is pulled in when the anal cushion is cut followed tight stapling with 2 rows of 28 staples so if external hemorrhoids are present they also get pulled in and get hidden inside and get tucked inside ...
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Surgery
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ...
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Minimally Invasive Procedure
Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed, thereby reducing wound healing time, associated pain, and risk of infection. Surgery by definition is invasive, and many operations requiring incisions of some size are referred to as ''open surgery''. Incisions made during open surgery can sometimes leave large wounds that may be painful and take a long time to heal. Advancements in medical technologies have enabled the development and regular use of minimally invasive procedures. For example, endovascular aneurysm repair, a minimally invasive surgery, has become the most common method of repairing abdominal aortic aneurysms in the US as of 2003. The procedure involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery. Interventional radiologists were the forerunners of minimally invasive procedures. Using imaging techniques, radiologi ...
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Abdominal
The abdomen (colloquially called the gut, belly, tummy, midriff, tucky, or stomach) is the front part of the torso between the thorax (chest) and pelvis in humans and in other vertebrates. The area occupied by the abdomen is called the abdominal cavity. In arthropods, it is the posterior tagma of the body; it follows the thorax or cephalothorax. In humans, the abdomen stretches from the thorax at the thoracic diaphragm to the pelvis at the pelvic brim. The pelvic brim stretches from the lumbosacral joint (the intervertebral disc between L5 and S1) to the pubic symphysis and is the edge of the pelvic inlet. The space above this inlet and under the thoracic diaphragm is termed the abdominal cavity. The boundary of the abdominal cavity is the abdominal wall in the front and the peritoneal surface at the rear. In vertebrates, the abdomen is a large body cavity enclosed by the abdominal muscles, at the front and to the sides, and by part of the vertebral column at the back. Low ...
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Antonio Longo (Surgeon)
Antonio Longo may refer to: * Antonio Longo (painter) (1740-1820) - also priest, born in Varena, Italy * Antonio Longo, former member of the music group Taking Back Sunday Taking Back Sunday is an American rock band from Amityville, New York, formed by guitarist Eddie Reyes and bassist Jesse Lacey in late 1999. The band's current members are Adam Lazzara (lead vocals), John Nolan (lead guitar, keyboards, voc ...
{{Hndis, Longo, Antonio ...
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Ventral Rectopexy
Ventral rectopexy is a surgical procedure for external rectal prolapse, internal rectal prolapse (rectal intussusception), and sometimes other conditions such as rectocele, obstructed defecation syndrome, or solitary rectal ulcer syndrome. The rectum is fixed into the desired position, usually using a biological or synthetic mesh which is attached to the sacral promontory. The effect of the procedure is correction of the abnormal descended position of the posterior compartment of the pelvis (i.e., the rectum), reinforcement of the anterior (front) surface of the rectum, and elevation of the pelvic floor. In females, the rectal-vaginal septum is reinforced, and there may be an opportunity to simultaneously correct any prolapse of the middle compartment (i.e., the uterus). In such cases, ventral rectopexy may be combined with sacrocolpopexy. The surgery is usually performed laparoscopically (via small openings made in the abdomen). Background There are over 300 different variations ...
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Fecal Incontinence
Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents—including flatus (gas), liquid stool elements and mucus, or solid feces. FI is a sign or a symptom, not a diagnosis. Incontinence can result from different causes and might occur with either constipation or diarrhea. Continence is maintained by several interrelated factors, including the anal sampling mechanism, and incontinence usually results from a deficiency of multiple mechanisms. The most common causes are thought to be immediate or delayed damage from childbirth, complications from prior anorectal surgery (especially involving the anal sphincters or hemorrhoidal vascular cushions), altered bowel habits (e.g., caused by irritable bowel syndrome, Crohn's disease, ulcerative colitis, food intolerance, or constipation with overflow incontinence). Reported prevalence figures vary: an estimated 2.2% of community-dwelling adult ...
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Fecal Urgency
Fecal urgency (also termed bowel urgency, rectal urgency or defecation urgency) is a medical symptom where there is a sudden, strong need to defecate that is difficult to defer. The difference between fecal urgency and urge fecal incontinence is that in fecal urgency the person usually has enough time to reach a toilet and there is no involuntary leakage of stool. In urge fecal incontinence, there is a sudden, strong urge to defecate (fecal urgency), and the person has little or no ability to prevent defecation. Fecal urgency warning time is the length of time from the first sensation of need to defecate until voluntary defecation or incontinence. Fecal urgency is associated with conditions such as irritable bowel syndrome, inflammatory bowel disease, diabetes, pelvic floor dysfunction, and previous radiotherapy directed at the pelvis or rectum. It may also occur after certain surgical procedures such as stapled trans-anal rectal resection Stapled trans-anal rectal resection (S ...
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Surgical Staple
Surgical staples are specialized Staple (fastener), staples used in surgery in place of surgical suture, sutures to close skin wounds or to resection (surgery), resect and/or anastomosis, connect parts of an Organ (biology), organ (e.g. bowels, stomach or lungs). The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close a defect. A more recent development, from the 1990s, uses clips instead of staples for some applications; this does not require the staple to penetrate. History The technique was pioneered by "father of surgical stapling", Hungarian surgeon Hümér Hültl. Hultl's prototype stapler of 1908 weighed , and required two hours to assemble and load. The technology was refined in the 1950s in the Soviet Union, allowing for the first commercially produced re-usable stapling devices for creation of bowel and Surgical anastomosis, anastomoses. Mark M. Ravitch brought a sample of stapling device after attendin ...
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Anus
In mammals, invertebrates and most fish, the anus (: anuses or ani; from Latin, 'ring' or 'circle') is the external body orifice at the ''exit'' end of the digestive tract (bowel), i.e. the opposite end from the mouth. Its function is to facilitate the defecation, expulsion of wastes that remain after digestion. Bowel contents that pass through the anus include the gaseous flatus and the semi-solid feces, which (depending on the type of animal) include: indigestible matter such as bones, hair pellet (ornithology), pellets, endozoochory, endozoochorous seeds and gastrolith, digestive rocks; Summary at residual food material after the digestible nutrients have been extracted, for example cellulose or lignin; ingested matter which would be toxic if it remained in the digestive tract; excretion, excreted metabolites like bilirubin-containing bile; and dead mucosal epithelia or excess gut bacteria and other endosymbionts. Passage of feces through the anus is typically controlled by ...
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Rectum
The rectum (: rectums or recta) is the final straight portion of the large intestine in humans and some other mammals, and the gut in others. Before expulsion through the anus or cloaca, the rectum stores the feces temporarily. The adult human rectum is about long, and begins at the rectosigmoid junction (the end of the sigmoid colon) at the level of the third sacral vertebra or the sacral promontory depending upon what definition is used. Its diameter is similar to that of the sigmoid colon at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring (the level of the puborectalis sling) or the dentate line, again depending upon which definition is used. In humans, the rectum is followed by the anal canal, which is about long, before the gastrointestinal tract terminates at the anal verge. The word rectum comes from the Latin '' rēctum intestīnum'', meaning ''straight intestine''. Struc ...
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Rectocele
In gynecology, a rectocele ( ) or posterior vaginal wall prolapse results when the rectum bulges ( herniates) into the vagina. Two common causes of this defect are childbirth and hysterectomy. Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. Although the term applies most often to this condition in females, males can also develop it. Rectoceles in men are uncommon, and associated with prostatectomy. Signs and symptoms Mild cases may simply produce a sense of pressure or protrusion within the vagina, and the occasional feeling that the rectum has not been completely emptied after a bowel movement. Moderate cases may involve difficulty passing stool (because the attempt to evacuate pushes the stool into the rectocele instead of out through the anus), discomfort or pain during evacuation or intercourse, constipation, and a general sensation that something is "falling down" or "falling out" within the p ...
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Internal Rectal Prolapse
Internal rectal prolapse (IRP) is medical condition involving a telescopic, funnel-shaped infolding of the wall of the rectum that occurs during defecation. The term IRP is used when the prolapsed section of rectal wall remains inside the body and is not visible outside the body. IRP is a type of rectal prolapse. The other main types of rectal prolapse are external rectal prolapse (where the prolapsed segment of rectum protrudes through the anus and is visible externally) and rectal mucosal prolapse (where only the mucosal layer of the wall of the rectum prolapses). IRP may not cause any symptoms, or may cause obstructed defecation syndrome (difficulty during defecation) and/or fecal incontinence. The causes are not clear. IRP may represent the first stage of a progressive condition that eventually may result in external rectal prolapse. However, it is uncommon for IRP to progress to external rectal prolapse. It is possible that chronic straining during defecation (dyssynergic def ...
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