Continencia y distensibilidad rectal

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Continencia y distensibilidad rectal

  1. 1. R2CG Carlos Hernández Brito
  2. 2. Zinner, M. Maingot´s abdominal operations, Chapter 24. Benign Disorders of the Anorectum
  3. 3. Corman, Colon and rectal surgery, 5° ed, Chapter 1 - Anatomy and Embryology of the Anus, Rectum, and Colon
  4. 4. Corman, Colon and rectal surgery, 5° ed, Chapter 1 - Anatomy and Embryology of the Anus, Rectum, and Colon
  5. 5.  Volumen de las heces, consistencia  Función de reservorio  Esfínteres  Componentes sensoriales  Rectal, anal, las vías neuronales y los reflejos  Factores mecánicos  Ángulos  Las válvulas  Flap  Cuerpo cavernoso del ano Gordon. Principles and Practice of the Surgery for the Colon, Rectum and Anus.Third Edition 2007
  6. 6. • 52 al 85% presión • 30% actividad tónica • 45% actividad inducida por actividad nerviosa • 10% actividad miogénica • 15% plexos hemorroidales Gordon. Principles and Practice of the Surgery for the Colon, Rectum and Anus.Third Edition 2007
  7. 7. Corman, Colon and rectal surgery, 5° ed, Chapter 1 - Anatomy and Embryology of the Anus, Rectum, and Colon
  8. 8. Corman, Colon and rectal surgery, 5° ed, Chapter 1 - Anatomy and Embryology of the Anus, Rectum, and Colon
  9. 9. Corman, Colon and rectal surgery, 5° ed, Chapter 1 - Anatomy and Embryology of the Anus, Rectum, and Colon
  10. 10. Corman, Colon and rectal surgery, 5° ed, Chapter 6 - Setting up a Colorectal Physiology Laboratory
  11. 11. Advances in Diagnostic Assessment of Fecal Incontinence and Dyssynergic Defecation, SATISH S. C. RAO, CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2010;8:910–919
  12. 12. • Relajación del esfínter interno • Contracción del esfínter externo • Se abre el ángulo recto anal por posición • Valsalva y aumento presión intraabdominal que vence la presión del esfínter externo • Desciende el piso pélvico • Aumento presión intrarectal • Sale el bolo fecal

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