By M. Pescatori, C.I. Bartram, A.P. Zbar, R.J. Nicholls
2-D and three-D anal ultrasound are one of the latest and complicated instruments to be had for either the prognosis and the administration of anorectal ailments. they're neither pricey nor destructive for the sufferers and gradually changed anal mapping with EMG electrodes for the analysis of sphincter's defects and anismus, which represents approximately 50% of the situations of power constipation. Anal US may supply the clinician with invaluable details for either type, analysis and administration of anorectal sepsis, anal incontinence and anorectal-perineal power ache. virtually any case awarded during this Atlas indicates either imaging and scientific photographs, hence permitting either the radiologist and the clinician to evaluate the reliability of the examination and the end result of the chosen remedy.
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Extra info for Clinical Ultrasound in Benign Proctology 2-D and 3-D Anal, Vaginal and Transperineal Techniques
End of operation with insertion of a Petzer catheter Fig. 20e. The catheter has been utilized to produce a postoperative sinogram to show the extent of the cavity and to direct the timing of catheter withdrawal Chapter 2 33 34 Chapter 2 Clinical Use of Two-Dimensional Endoanal and Transvaginal Sonography Recurrent Fistula Fig. 21a. Left ischiorectal abscess (marked) Fig. 21b. Fistula probing in the same patient. No communication with the anal canal is found M. Pescatori • S. Ayabaca • M. Spyrou • P.
Dis Colon Rectum 29:810-813 2. Law PJ, Bartram CI (1989) Anal endosonography: technique and normal anatomy. Gastrointest Radiol 14:349-353 3. Sultan AH, Nicholls RJ, Kamm MA, Hudson CN, Beynon J, Bartram CI (1993) Anal endosonography and correlation with in vitro and in vivo anatomy. Br J Surg 80:508-511 4. Bartram CI, Frudinger A (1997) Handbook of Anal Endosonography. Wrightson Biomedical Publishing, UK 5. Sultan AH, Kamm MA, Hudson CN, Nicholls JR, Bartram CI (1994) Endosonography of the anal sphincters: normal anatomy and comparison with manometry.
Ann Surg 218:201-205 20. Hill J, Hosker G, Kiff ES (2002) Pudendal nerve terminal motor latency measurements: what they do and do not tell us. Br J Surg 89:1268-1269 21. Leroi AM,Kamm MA,Weber J, Denis P, Hawley PR (1997) Internal anal sphincter repair. Int J Colorectal Dis 12:243-245 22. Gold DM, Bartram CI, Halligan S, Humphries KN, Kamm MA, Kmiot WA (1999) 3-D endoanal sonography in assessing anal canal injury. Br J Surg 86:365-370 23. Briel JW, Stoker J, Rociu E, Laméris JS, Hop WC, Schouten WR (1999) External anal sphincter atrophy on endoanal magnetic resonance imaging adversely affects continence after sphincteroplasty.