Sepsis, discharge, fever, anemia are other features. P/R examination shows lax sphincter. Anteriorly, peritoneal sac comes down as pouch which may contain small bowel . Treatment Fixation Operations  Well’s operation (ivalon sponge warp operation) Rectopexy (Lockhartmummery) operation Rectal sling operation Perineal approach (Delorme’s operation) Lahaut’s operation. Resection Operations  Anterior resection of the rectum.
In the current study, a new treatment (bladder distension) was compared with the currently available treatment (misoprostol). This study aimed to reveal that uterine straightening by bladder distension was not inferior to misoprostol in relieving the pain experienced by postmenopausal patients during office hysteroscopy. At the time of study design, there were no studies in literature that reported the use of vaginal misoprostol (400µg) 12 hours before office hysteroscopy in postmenopausal patients. Available studies either included heterogeneous population of patients (postmenopausal patients and patients of reproductive age) or investigated different regimens of misoprostol administration in postmenopausal patients undergoing office hysteroscopy[6, 7,
The cribriform plate injury with cerebrospinal fluid leak may occur if the dissection is taken too high. Maintenance of proper orientation during dissection is important, and occasional reorientation by placing the scope within the nasal cavity may be helpful. . In a report of 116 patients undergoing endoscopic septoplasty, 4.3% of patients reported transient dental pain or hypesthesia, while less than 1% of patients suffered from epistaxis or septal hematoma following surgery. SUMMARY A useful technique well suited to ESS is Endoscopic septoplasty.
Otherwise, the chances of a worsening of uterine prolapse increased significantly. If the prolapse is moderate to severe, the two main non-surgical remedies are the peccary is a hormonal therapy based on estrogen (indicated for women in menopause).These therapeutic countermeasures are used to relieve the symptoms, but their use is temporary. Very often, in fact, use is made of them for a defined time, in surgery waiting decisive, because it may have side effects. For example, prolonged use of the peccary irritates the inner cavity of the vagina. It is advisable, even in those circumstances, to practice Kegel exercises, control your weight and avoid heavy
• LAXATIVES SAFER DURING PREGNANCY: • Bulk laxatives: 1. Psyllium 2. bran They form gels in the large intestine, causing water retention and intestinal distention, thereby increasing peristaltic activity. But it requires some physical activity along with it as it may cause intestinal obstruction. • Stool softeners: 1. Docusate sodium 2.
In this instance, specific focus and attention is necessary to be drawn to the perineum. The perineum is the part of the trunk that lies caudal to the pelvic floor.1 The perineum contains the perineal body (also known as the central perineal tendon) and the deep and superficial transverse perineal muscles. The perineal body is the site along which the tendineus fibres from the two sides of the perineal muscles decussate each other across the midline. This muscle arrangement allows simultaneous contraction of the perineal muscles, which allow the perineal muscles to stretch and elevate as
The sitz bath is a conventional remedy commonly recommended for the non-surgical treatment of anal diseases or postoperative management of perineal wounds after anal Surgery1. Warm sitz baths are reported to be helpful in relieving anal discomfort, and they are effective for reducing spasm by relaxing the anal sphincter and promoting tissue healing by increasing the blood flow2. It can relieve anal pain from an anal fissure or hemorrhoids, and it is usually recommended after an operation for perianal abscess or fistula3. Most physicians, including colon and rectal surgeons, recommend warm sitz baths to relieve pain in the perineal region and to promote wound healing, even though there is no rational explanation for this maneuver4. Pain relief
To give local action inside the perianal area suppositories are also intended. To relive pruritus of a variety of causes and the pain related with hemorrhoids local anesthetic suppositories are generally employed. Several marketable hemorrhoid suppositories contain a number of medicinal agents like astringents, protective, anesthetics, lubricants, and other intended to reduce the discomfort of the situation. The contact type agents that work directly on the colonic mucosa to created normal peristalsis are cathartic suppositories. Since the contact activity is confined to the colon and the motility of the small intestine significantly affected.