By David E. Beck, Steven D. Wexner, Tracy L. Hull, Patricia L. Roberts, Theodore J. Saclarides, Anthony J. Senagore, Michael J. Stamos, Scott R. Steele
The ASCRS Textbook of surgical procedure of the Colon and Rectum bargains a accomplished textbook designed to supply state-of-the-art info to citizens in education and entirely proficient surgeons looking recertification. The textbook additionally helps the challenge of the ASCRS to be the world’s authority on colon and rectal affliction. the mix of junior and senior authors chosen from the club of the ASCRS for every bankruptcy will offer a complete precis of every subject and make allowance the contact of expertise to concentration and mood the cloth. This strategy may still give you the reader with a truly open minded, proof established method of all points of colorectal illness. Derived from the textbook, The ASCRS handbook of surgical procedure of the Colon and Rectum bargains a “hands on” model of the textbook, written with an analogous entire, evidence-based technique yet distilled to the medical necessities. In a convenient pocket structure, readers will locate the bread and butter info for the extensive spectrum of perform. In a constant type, every one bankruptcy outlines the situation or process being mentioned in a concise define structure – effortless to learn, adequately illustrated and referenced.
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Extra resources for The ASCRS Manual of Colon and Rectal Surgery
Lymphatic Drainage • The submucous and subserous layers of the colon and rectum have a rich network of lymphatic plexuses, which drain into an extramural system of lymph channels and follow their vascular supply. 1. Anatomy and Embryology of the Colon, Rectum, and Anus • • 23 Colorectal lymph nodes are classically divided into four groups: epiploic, paracolic, intermediate, and principal. The epiploic group lies on the bowel wall under the peritoneum and in the appendices epiploicae; they are more numerous in the sigmoid and are known in the rectum as the nodules of Gerota.
The colonic mucosa is unable to nourish itself from the bloodstream. Therefore, the nutrient requirements are met from the luminal contents. E. Beck et al. 1007/978-0-387-73440-8_2, © Springer Science + Business Media, LLC 2009 32 The ASCRS Manual of Colon and Rectal Surgery • • • • Butyrate (produced in the least amount) is important as the primary energy source for the colonocyte. Butyrate may also have a major role in cell proliferation and differentiation as well as being important in absorption of water and salt from the colon.
Anatomy and Embryology of the Colon, Rectum, and Anus 17 Fig. 7. The anteriorly directed pull of the puborectalis contributes to the angulation between the rectum and anal canal, the anorectal angle. • or the vagina in women, pass through it. This defect is called the levator hiatus and consists of an elliptic space situated between the two pubococcygeus muscles. The puborectalis muscle is a strong, U-shaped loop of striated muscle that slings the anorectal junction to the posterior aspect of the pubis (Fig.