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UNIVERSIDAD DE GUADALAJARA Centro Universitario de  Ciencias de la Salud Carrillo Cordero Brenda Elizabeth Profesor: Dr. Hector Virgen Guadalajara, Jalisco 26/OCT/2011 RECTUM AND ANUS - Anal fissure -Anorectal sepsis and fistula in ano -Hemorrhoids -Pilonidal disease
ANAL FISSURE ,[object Object],[object Object],[object Object],[object Object],Goligher Schwartz's principles of surgery 8th ed.
http://www.proctologa.com.mx/fisuras_anales.html http://www.proctologiacr.com/fisura.htm
http://www.nlm.nih.gov/medlineplus/spanish/ency/esp_presentations/100154_1.htm
ETHIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery. Treatment & diagnosis, Doherty G.  SPASM WOUND PAIN
CHRONIC FISSURE ,[object Object],[object Object],[object Object],http://gsdl.bvs.sld.cu/greenstone/collect/cirugia/index/assoc/HASH01dc.dir/fig10.8g.png
SYMPTOMS AND FINDINGS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical examination
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://medicosdeelsalvador.com
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURGICAL THERAPY ,[object Object],[object Object],[object Object],Schwartz's principles of surgery 8th ed.
ANORECTAL SEPSIS AND FISTULA IN ANO
ANORECTAL SEPSIS  FISTULA IN ANO ,[object Object],[object Object],[object Object],[object Object]
Surgery. Treatment & diagnosis, Doherty G.
 
DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.endoinflamatoria.com/3_2.html
Complex or atypical presentations  CT  MRI http://www.endoinflamatoria.com/3_2.html
TREATMENT ,[object Object],[object Object],[object Object]
 
FISTULA IN ANO ,[object Object],[object Object]
Goodsall's rule Schwartz's principles of surgery 8th ed.
TREATMENT OF FISTULA IN ANO ,[object Object],[object Object],[object Object],http://fitsweb.uchc.edu/student/selectives/Luzietti/Painful_anus_fistula_in_ano.htm
HEMORRHOIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Combined internal and external hemorrhoids
 
INTERNAL HEMORRHOIDS ,[object Object],[object Object],[object Object],[object Object],[object Object]
VIDEO
CLINICAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],Barium enema Colonoscopy Physical examination
TREATMENT ,[object Object],[object Object]
Surgical treatment. Rubber Band Ligation Sclerotherapy
Surgical treatment. Stapled Hemorrhoidectomy http://cccrs.tripod.com/PPH.html
Surgical treatment. Excisional  Hemorrhoidectomy http://colorectal.surgery.ucsf.edu/conditions--procedures/hemorrhoidectomy.aspx
PILONIDAL DISEASE
PILONIDAL DISEASE ,[object Object],[object Object],[object Object],[object Object]
CLINICAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],http://www.mednet.cl http://www.davidclark.net
¡THANK YOU!

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