ABSTRACT
Proctopexy using synthetic mesh is a popular method of treating rectal prolapse. Suturing the graft to the presacral fascia is time-consuming and can lead to complications. With the fascial stapler, two parallel rows of three staples are used to quickly and securely anchor the Marlex sling to the sacrum, thus avoiding hemorrhage from the presacral veins. Fourteen patients have been treated with no complications.
Subject(s)
Rectal Prolapse/surgery , Rectum/surgery , Surgical Staplers , Fasciotomy , Humans , Methods , Surgical MeshABSTRACT
Forty-five patients with levator syndrome were treated by high voltage electrogalvanic stimulation of the levator ani by means of an intra-anal probe. Voltage varied from 150 to 400 volts, depending on patient tolerance. Negative electrodes and 80 cycles per second were used for 20 minutes every other day. An average of five treatments was needed for complete pain relief. Excellent results (total pain relief) were obtained in 36 patients, good results in five, fair results in two, and poor results (no relief) in two. High voltage electrogalvanic stimulation is the treatment of choice for levator syndrome because it can be standardized, is well tolerated, and is over 90 percent effective.
Subject(s)
Electric Stimulation Therapy/instrumentation , Muscles , Rectal Diseases/therapy , Adult , Aged , Female , Humans , Male , Middle Aged , Pelvis , SyndromeABSTRACT
Methylene blue marking of small tumors, biopsy sites, or any tumor in an obese patient is a simple, safe and direct method for accurate identification and resection of rectosigmoidal lesions.
Subject(s)
Biopsy , Methylene Blue , Rectal Neoplasms/pathology , Sigmoid Neoplasms/pathology , Female , Humans , Male , Methods , Middle AgedABSTRACT
Four cases of extensive corrosive gastric injury requiring surgical treatment are presented. Appropriate management of this life-threatening entity requires an awareness of its subtle presentation plus a well planned surgical approach.
