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document Anatomy of the Colon, Rectum, Anus, and Pelvic Floor (Chapter 2, European Manual of Medicine: Coloproctology Second Edition) Popular

By In Anatomy

Detailed knowledge of clinical anatomy is an indispensable prerequisite for the diagnosis and therapy of coloproctological diseases. Therefore this chapter presents the essential aspects of the anatomy of the colon, rectum, anal canal, and pelvic floor that are relevant for coloproctologists. Anatomy is described for the different colonic segments, rectal ampulla, upper and lower anal canal, corpus cavernosum recti, proctodeal glands, anal sphincter complex, and pelvic floor muscles. The anatomic structures mediating anal continence are highlighted. Special emphasis is given to topographical aspects and anatomic landmarks relevant for surgical approaches. Access routes to both autonomic and somatic nerves, as well as blood supply and lymphatic drainage, are addressed for each anatomic compartment. In particular, the topography of perirectal fasciae and spaces and their relationship to pelvic autonomic nerves are described in detail to meet the criteria for nerve-sparing total mesorectal excision. Finally, the anatomical peculiarities of the pelvic floor levels (subperitoneal, ischioanal, and perianal spaces) are presented and set in a clinical context.

video Ano-vaginal and perineal reconstruction with X-flap and sphincteroplasty for cloaca-like deformity after severe obstetric injury

By In Varia

Surgical Video Session - Vita Klimasauskiene (UK) at ESCP Berlin 2017

video Anodyspareunia: a challenge for modern proctology

By In Chronic Pelvic and Perineal Pain

Diversity and fairness session - Clara Gene Skrabec (Spain) at ESCP Vilnius 2023

document Anorectal Abscess and Fistula (Chapter 6, European Manual of Medicine: Coloproctology Second Edition) Popular

By In Anorectal Abscess and Fistula

Fistula in ano is a common condition mostly caused by inflammation of the proctodeal anal glands. This results in an acute anal abscess or chronic fistula. Anal fistulas are classified according to their relation to the anal sphincter muscles: subcutaneous, subanodermal, intersphincteric, transsphincteric, suprasphincteric or extrasphincteric. Distal fistulas including negligible amounts of sphincter muscle are treated by a lay-open technique (fistulotomy, fistulectomy), whereas proximal fistulas are cured using sphincter-saving procedures (advancement flap, fistulectomy with primary sphincter reconstruction, ligation of intersphincteric fistula tract, fistula plugs, fistula clip). The best surgical method balances the chance of healing and the risk of incontinence. An experienced colorectal surgeon also plays an important role.

video Anorectal fistula closure with the OTSC proctology: prospective pilot study

By In Anorectal Abscess and Fistula

Oral Poster (Proctology) - Ruediger Prosst at ESCP Barcelona 2014

video Anorectal malformations: Classification of anorectal malformations

By In Varia

Symposium - Risto Rintala at ESCP Sorrento 2010

video Anorectal malformations: Management of sequelae in adulthood

By In Varia

Symposium - Paul-Antoine Lehur at ESCP Sorrento 2010

video Anorectal malformations: Surgical treatment in childhood

By In Varia

Symposium - Tomas Wester at ESCP Sorrento 2010

video Anti-TNF-alpha agents and postoperative complications in Crohn’s disease patients: lessons learned from 18 studies and 8 reviews

By In Crohn's Disease

Oral Poster (IBD) - Alaa El-Hussuna at ESCP Barcelona 2014

video Antiplatelet and anticoagulation agents in colorectal surgery

By In Periop Management

Keynote lecture - Jørn Dalsgaard Nielsen at ESCP Copenhagen 2011

video Apoptotic proteins as prognostic markers and indicators of radiochemosensitivity in stage II/III rectal cancers

By In Rectal Cancer

Free paper - Niccolé Bartolini at ESCP Sorrento 2010

document Appendicitis (Chapter 21, European Manual of Medicine: Coloproctology Second Edition)

By In Appendicitis

Appendicectomy is the most common abdominal surgical procedure and is performed as an urgent or emergent procedure. The major difficulty in managing acute right iliac fossa pain is the broad differential diagnosis that can lead to a false-positive diagnosis in up to 30 % of patients. The availability of cross-sectional imaging has improved diagnostic accuracy, and laparoscopic techniques have reduced overall morbidity. Conservative management in selected patients may also be appropriate. In this chapter the evidence base for modern management of appendicitis is presented in the context of conventional clinical wisdom.

video Are C-reactive protein levels necessary in the diagnosis of acute appendicitis in adults?

By In Appendicitis

Oral poster - Zina Shukur at ESCP Copenhagen 2011

video Are mortality outlier institutions globally poor performers in colorectal cancer surgery?

By In Complications

Free Paper - Alex M Almoudaris at ESCP Copenhagen 2011

video Are the effects of the microbiome on Crohn's perianal fistulae different to luminal Crohn's disease?

By In Crohn's Disease

Free Paper (IBD) - Nuha Yassin at ESCP Dublin 2015

video Area-specific prognostic values of mesothelin in stage II colorectal cancer: a tissue-microarray based approach

By In Basic research

Japanese Visiting Fellow free paper - Eiji Shinto at ESCP Barcelona 2014

video ASCRS Visiting Fellow: What determines perfect patient evaluation of surgery for hemorrhoids; results of prospective double blind randomized trial

By In Haemorrhoids

International Travelling Fellow Free Paper - Tomas Poskus (Lithuania) at ESCP Vienna 2019

video ASIT: Supporting student and trainees collaborative research

By In Education, Training, Science writing

EuroSurg Student Session - Christina Fleming (Ireland) at ESCP Nice 2018

video Assessing technical competence for certification in colorectal surgery - the North American experience

By In Education, Training, Science writing

The future of colorectal simulated training - Sandra de Montbrun at ESCP Dublin 2015

video Assessment of the clinical value of 64 slice FDG PETCT in the pre-operative management of colorectal liver metastases

By In Rectal Cancer

Oral poster - Benjamin Stubbs at ESCP Copenhagen 2011

video Atypical colitis, proctology and anal neoplasia: Condylomata, HPV, and AIN

By In AIN and Anal Cancer

Symposium - Andreas Salat (Austria) at ESCP Vienna 2019

video Atypical colitis, proctology and anal neoplasia: Personalised anal cancer management in 2020

By In AIN and Anal Cancer

Symposium - Marianne G. Guren (Norway) at ESCP Vienna 2019

video Augmented reality in MIS surgery

By In Varia

ESCP/EAES Symposium - Francisco Sánchez-Margallo (Spain) at ESCP Dublin 2022

video Avoiding ureter injury in colorectal surgery

By In Varia

Trainee video session - prepared by David Zimmerman (The Netherlands) for ESCP Barcelona 2021

video Back to the future: novel treatments for haemorrhoids or the same old stuff?

By In Haemorrhoids

Keynote Lecture - Steven Brown (UK) at ESCP Nice 2018

video Backwash ileitis not influence the risk of the pouchitis, but can increase the risk of the pouch dysplasia

By In Ulcerative Colitis

Oral Poster (IBD) - Tomasz Banasiewicz at ESCP Dublin 2015

video Barriers to surgical education for LIC trainees - can we do better?

By In Education, Training, Science writing

Diversity and fairness session - Ayka Gultekin (Turkey) at ESCP Vilnius 2023

video Benchmarks in low anterior resection for rectal cancer to prevent anastomotic leakage: a cluster randomized trial

By In Rectal Cancer

New trials forum - Roberto Peltrini (Italy) at ESCP Dublin 2022

video Benign Chronical Abdominal Diseases for the Colorectal Surgeon: Endometrioses

By In Endometriosis

Symposium - Carla Tomassetti (Belgium) and Albert Wolthuis (Belgium) at ESCP Berlin 2017

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