Titlebook: Anorectal and Colonic Diseases; A Practical Guide to Jean-Claude R. Givel,Neil Mortensen,Bruno Roche Book 2010Latest edition Springer-Verla

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Effizientes Nachhaltigkeitsmanagemention of resection, combined with low (relative to anterior resection) morbidity (5–10%) and short duration of hospitalization make this technique a reliable, and in some cases, more effective surgical approach than laparotomy or laparoscopy with low anterior resection, provided careful patient selection is performed.

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Colonic Motility and Physiologyascending colon) plays a major role in water and electrolyte absorption and fermentation of undigested sugars, and the left colon (descending colon, sigmoid colon and rectum) is predominantly involved in storage and evacuation of stool.

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Microbiology of the Lower Digestive Tractthis selection is based on high prevalence data, the likelihood of occasionally encountering the pathogen in industrialized countries, and their propensity for infecting the terminal part of the intestine. Table 11.1 summarizes the relevant information regarding the practical aspects of diagnosing of these organisms.

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Transanal Endoscopic Microsurgical Excisionion of resection, combined with low (relative to anterior resection) morbidity (5–10%) and short duration of hospitalization make this technique a reliable, and in some cases, more effective surgical approach than laparotomy or laparoscopy with low anterior resection, provided careful patient selection is performed.

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Anorectal Manometryendering interlaboratory comparison very difficult. Manometry can be used to assess resting anal pressures, squeeze pressures, the length of the high-pressure zone, the presence or absence of an anorectal reflex, and rectal pressures and anal pressures as a response to rectal filling.

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Preparation and Positioning for Surgeryd thromboembolic prophylaxis. Finally, adequate and optimal positioning of the patient on the operating table is mandatory for optimal intervention. The process of rendering the patient fit for surgery and his/her anaesthesiological management will not be discussed here; these topics are covered in Chaps. 12 and 14, respectively.

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Effizienzsteigerung in der Szenariotechnik,The main function of the left colon is storage of stools and, together with the rectum, the pelvic floor, and the anal canal, it is responsible for continence and defecation. The mechanisms underlying continence and defecation are interdependent, and in the majority of patients with functional problems both are affected to a varying degree.

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Effizientes Forderungsmanagementtion, its development, the appearance of secondary associated complaints, and its precise characteristics should all be ascertained in detail. The interview may involve relatives; some questions are extremely personal and should be discussed on a one-to-one basis, in a place where there is privacy, available counseling, and a relaxed environment.