(BQ) Part 1 book “Anorectal surgery” has contents: History of surgery, embryology, anatomy , physiology, evaluation of patient with anorectal disorders, clinical examination, investigations, preoperative work-up, constipation, obstructed defecation syndrome.
Anorectal Surgery Made Easy® Anorectal Surgery Ratandeep Surgical Hospital and Endoscopy Clinic Nakshatra, IInd Floor Maninagar, Ahmedabad Gujarat, India ® Made Easy® Ajit Naniksingh Kukreja MS FICS(USA) FIAGES LLB JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Panama City • London • Dhaka • Kathmandu ® Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: jaypee@jaypeebrothers.com Overseas Offices Jaypee-Highlights Medical Publishers Inc City of Knowledge, Bld 237, Clayton Panama City, Panama Phone: + 507-301-0496 Fax: + 507- 301-0499 Email: cservice@jphmedical.com Jaypee Brothers Medical Publishers (P) Ltd 17/1-B, Babar Road, Block-B, Shaymali Mohammadpur, Dhaka-1207 Bangladesh Mobile: +08801912003485 Email: jaypeedhaka@gmail.com Jaypee Brothers Medical Publishers (P) Ltd Shorakhute, Kathmandu Nepal Phone: +00977-9841528578 Email: jaypee.nepal@gmail.com J.P Medical Ltd 83, Victoria Street, London SW1H 0HW (UK) Phone: +44-2031708910 Fax: +02-03-0086180 Email: info@jpmedpub.com Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2013, Jaypee Brothers Medical Publishers All rights reserved No part of this book may be reproduced in any form or by any means without the prior permission of the publisher Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work If not specifically stated, all figures and tables are courtesy of the author Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device Anorectal Surgery Made Easy ® First Edition: 2013 ISBN 978-93-5025-719-7 Printed at Dedicated to Late Smt Parvati Kukreja Late Ramkishan Kukreja Late Shri Pursusingh Kukreja Naniksingh Pursusingh Kukreja Parivar, INDIA Preface Considering the prevalence of anorectal diseases and developments in anorectal disorders, there are surprisingly few books on Anorectal Surgery The goal of every good medical textbook is to teach excellence in medicine This is the main purpose of this book Anorectal Surgery Made Easy—With DVD This book specifically attempts to draw together all up-to-date strands of relevant information Everything a trainee, practicing surgeon or proctologist needs to know The book is written at a level appropriate for both medical students (Undergraduate and Postgraduate), Surgeons and Proctologists The book is clearly set out in twenty-one chapters starting with History of Surgery and covers the whole spectrum of new frontiers in management of anorectal disorders Sections describe the clinical manifestations, diagnosis, and treatment of each condition Useful tables, pictures, tips, notes and caution warnings are included The chapters themselves are comprehensive yet free of unnecessary detail Only key references are included so that readability is not inhibited by overly dense text This book will answer a lot of common questions and some odd ones that bring an interesting approach to managing patients with anorectal problems Once you get started reading the book, you will learn to think in nontraditional ways, ways that will help you manage problems that might previously have been very hard for you to manage Discretion dictates, that I cannot credit individually those who have had an influence on my writing In any case, great as Anorectal Surgery that influence has been, my first word of thanks goes to my entire family I am indebted to my family who has, as always, given me the selfless support and far more encouragement than I deserve Primary acknowledgment must go to the many dedicated scientists who have discovered the principles of surgery The scientific literature acknowledges individual contributions, but textbooks cannot adequately pay such tribute I am indebted to all these unnamed investigators I would like to take this opportunity to thank all those who have contributed so generously their experience, and time, in order to produce this work Not to forget my philosophers, teachers and guides, relatives, friends, staff, well wishers and last but not least my patients I am confident that this textbook will enjoy wide recognition, and hope that it will become a reference work for proctologists around the globe No matter, how you choose to use this book, I wish you a lot of joy, and hope to get some feedback from you at my email address: info@ratandeep.com viii Ajit Naniksingh Kukreja Acknowledgments I am grateful to Smt HariDevi and Shri Naniksingh Pursusingh Kukreja and Family, Smt Devi and Shri Lekhraj Pursusingh Kukreja for guiding me to conceptualize, develop and complete this title Indeed, without the help and will of the family, nothing would have been accomplished Rev Dadaji JP Vaswani, Bhai Chamnjeet Singh Lal, Swami Purshottampriyadas Ji for showering their blessings The effort of Dr Jyotsna Ajit Kukreja, Dr Preeti Ratansingh Kukreja, Dr (In Making) Renuka Ajit Kukreja, Anamika Ajit Kukreja and Late Ms Rekha Christian in coordinating the process is acknowledged This book is a fruit of cooperation and relentless dedication of many individuals and institutions They include my patients who provided the opportunity and encouragement to explore these ideas Further thanks goes to my teachers Dr SM Patel, Dr KL Sheth and Dr RL Vadi for their blessings The entire team of Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who gave the most careful reading of the book, and advice based on years of experience As have many others, I feel compelled to mention Smt Jyoti and Shri Prakash Kandhari, Smt Sulochana and Shri Ratansingh Kukreja, Smt Varsha and Shri Jitendra Kukreja, Smt Sheela and Shri Dilip Kukreja, Smt Sunita and Shri Dharmendra Kukreja, Smt Geeta and (Late) Shri Ramkishansingh Kukreja, Smt Pooja (Anjali) and Shri Hemant Lakhani, Smt Dhara and Shri Hero Bhojwani, Smt Urvashi and Shri Jenish Puri, Smt Unnati and Shri Girish Kandhari, Kirti Kukreja, Trilochan Kukreja, Kush Kukreja, Karuna Kukreja and Pradeep Kukreja and all Kukreja family kids x Anorectal Surgery and kins for creating an enjoyable environment for writing the book And finally my coordinates, friends and staff at Ratandeep Surgical Hospital and Endoscopy Clinic for their emotional support ... 4838/24, Ansari Road, Daryaganj New Delhi 11 0 002, India Phone: +9 1- 1 1- 4 3574357 Fax: +9 1- 1 1- 4 3574 314 Email: jaypee@jaypeebrothers.com Overseas Offices Jaypee-Highlights Medical Publishers Inc City... Garbha sanku; 10 Ardha-chandra-mukha sala; 11 Mallaka samputa; 12 Alabu yantra; 13 Ghati yantra; 14 Yoni vraneksana; 15 Vrana vasti; 16 Vasti yantra; 17 Suvasti yanta; 18 Uttara vasti; 19 Mandalagara... Manometry 10 0 Purpose of Performing Anal Tonometry 10 5 Electromyography 11 7 Endoscopy 11 9 Complications 12 7 Rigid Sigmoidoscopy 12 7 Flexible Sigmoidoscopy 13 7 Preparation 13 9 xii Contents 14 9 15 3