HTHSCI 1DT3 Lecture Notes - Lecture 18: Fecal Incontinence, Rectovaginal Fistula, Urinary Incontinence
26 Dec 2020
School
Department
Course
Professor
Document Summary
Relatively uncommon: 250-300 cases/yr in the uk. Above dentate line internal iliac nodes. Hpv (16, 18, 31, 33) is important factor. Tumours that fail to respond to radiotherapy. Small anal margin tumours w/o sphincter involvement. Protrusion of rectal tissue through the anal canal. Usually elderly females c poor o&g hx. May reduce spontaneously or require manual reduction. Assoc. c vaginal prolapse and urinary incontinence. Mobilised rectum fixed to sacrum c mesh. Resect mucosa and suture the two mucosal boundaries. Protrusion of a viscus or part of a viscus through the walls of its containing cavity into an abnormal position. Sac can return to the abdominal cavity either spontaneously or c manipulation. Sac cannot be reduced despite pressure or manipulation. Blood supply of contents is compromised due to pressure at the neck of the hernia. Part of the sac is formed by bowel (e. g. caecum or sigmoid): take care when excising the sac.
