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Dr. Benjamín Robles Mariscal
Dr. Héctor Manuel Virgen AyalaPonente: Angélica López Villegas
UNIVERSIDAD DE GUADALAJARACENTRO UNIVERSITARIO DE CIENCIAS DE LA SALUD
CLINICAL SURGERY DEPARTAMENT
NOPLASIA Y TRAUMATISMO ANORECTAL
ANATOMY AND PHYSIOLOGY
INCONTINENCE
Et
iolo
gy
MuscleTrauma
Incompetence
NeuralCourt
Stretch
WEXNER SCALE
Type Never Rarely Sometimes Usually Always
Gas 1 2 3 4 5
Liquid 1 2 3 4 5
Solid 1 2 3 4 5
Compress 1 2 3 4 5
Social impact 1 2 3 4 5
DIAGNOSIS
Manometry
Ultrasonography
Electromyography
TREATMENTOverlapping SphincteroplastyDietary regulation and biofeedback
Sacral nerve stimulator Transposition of the gracilis
Artificial sphincter Colostomy
ANORECTAL TRAUMA
TYPES OF COLORECTAL LESIONS
• Sharps.
• Blunt
• Iatrogenic• Barium enema
• Intrasurgical
• Colonoscopic
• Foreign object injury
SHARP LESION
BLUNT TRAUMA
IATROGENIC INJURY
Intrasurgical injury Early identificationUse of barium Derivación fecal
Colonoscopic perforation Size of lesion
FOREIGN OBJECT
TREATMENT
Mechanism of injury
Lapse of time between injury and surgery
Hemodynamic status
Stability of patient
Degree of peritoneal contamination
ANAL MARGIN TUMORS.
SQUAMOUS CELL CARCINOMA
BASAL CELL CARCINOMA.
BOWEN’S DISEASE
PAGET’S DISEASE
TUMORS IN THE ANAL CANAL.
EPIDERMOID CARCINOMA
MELANOMA
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