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Titlebook: Anorectal and Colonic Diseases; A Practical Guide to Jean-Claude R. Givel,Neil Mortensen,Bruno Roche Book 2010Latest edition Springer-Verla

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,Messung des ökonomischen Erfolgs, constraints, waiting lists, lack of evidence of the benefits of laparoscopic colorectal surgery, a competitive “enhanced recovery after surgery” programme (fast track, FT), increased procedural costs and above all, the long learning curve. Most of these issues reflect a lack of adequate training.
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https://doi.org/10.1007/978-3-658-05847-0ance. In the 1940s, Koernig, a chemistry student who had an ileostomy, designed a rubber-latex appliance that prevented the ileostomy effluent from contacting the skin [3]. In 1952, Brooke [4] described spouting of the ileostomy to facilitate collection into a bag without damaging the adjacent skin.
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Anorectal and Pelvic Floor PhysiologyThe main function of the left colon is storage of stools and, together with the rectum, the pelvic floor, and the anal canal, it is responsible for continence and defecation. The mechanisms underlying continence and defecation are interdependent, and in the majority of patients with functional problems both are affected to a varying degree.
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History-Taking and Symptomstion, its development, the appearance of secondary associated complaints, and its precise characteristics should all be ascertained in detail. The interview may involve relatives; some questions are extremely personal and should be discussed on a one-to-one basis, in a place where there is privacy, available counseling, and a relaxed environment.
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Laparoscopic Colorectal Surgery constraints, waiting lists, lack of evidence of the benefits of laparoscopic colorectal surgery, a competitive “enhanced recovery after surgery” programme (fast track, FT), increased procedural costs and above all, the long learning curve. Most of these issues reflect a lack of adequate training.
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Endorectal and Anal Sonographyl imaging. The ability to accurately stage rectal cancer preoperatively was the first real benefit realised by the use of this new modality; many other useful applications in the field of colorectal surgery have since become apparent.
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