c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Perineal Proctectomy with Parkes' Posterior Repair: 13

A D V E R T I S E M E N T

   
 

The initial mobilization of the prolapsed bowel is shown.       

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Perineal Proctectomy with Parkes' Posterior Repair: 14

A D V E R T I S E M E N T

   
 

The rectum above the sphincter muscles is supplied by the superior rectal branch of the inferior mesenteric artery and by the middle rectal branches of the internal iliacs. These mesenteric vessels posterior and lateral to the colon wall must be divided to mobilize the redundant rectum.      

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Perineal Proctectomy with Parkes' Posterior Repair: 15

A D V E R T I S E M E N T

   
 

The mesorectum was progressively divided and the rectum delivered through the sphincters.       

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This page was last modified on 9/1/2000.