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Perineal Proctectomy with Parkes' Posterior Repair Images

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Prolapsed rectum.
VID 212, frame 1

recP4047

 

Normal rectal anatomy.
VID 212, frame 2

recG4048

 

Rectal prolapse.
VID 212, frame 2

recG4049

 

Retractor frame.
VID 212, frame 3

recP4050

 

External anal sphincter.
VID 212, frame 4

pelL4006

 

Internal anal sphincter.
VID 212, frame 4

pelG4007

 

External sphincter.
VID 212, frame 5

recG4051

 

Internal sphincter.
VID 212, frame 5

recG4052

 

Prolapse in relation to the sphincters.
VID 212, frame 5

recG4053

 

Scoring the mucosa.
VID 212, frame 6

recP4054

 

Anterior rectal wall opening.
VID 212, frame 7

recP4055

 

Diagram of anterior wall opened.
VID 212, frame 8

recG4056

 

Anterior rectal wall opened.
VID 212, frame 9

recP4057

 

Stay sutures.
VID 212, frame 10

recP4058

 

The posterior wall opened.
VID 212, frame 11

recG4059

 

Bowel wall opened.
VID 212, frame 12

recL4060

 

Initial mobilization.
VID 212, frame 13

recP4061

 

Rectal blood supply.
VID 212, frame 14

recL4062

 

Mesentery divided.
VID 212, frame 15

recP4063

 

Rectum pulled down.
VID 212, frame 16

recG4064

 

Epiploic appendages.
VID 212, frame 17

recP4065

 

Fully mobilized.
VID 212, frame 18

recP4066

 

Posterior levator stitch.
VID 212, frame 19

recP4067

 

Anterior stitch.
VID 212, frame 20

recP4068

 

Placement of repair sutures (1).
VID 212, frame 21

recG4069

 

Placement of repair sutures (2).
VID 212, frame 21

recG4070

 

Placement of repair sutures (3).
VID 212, frame 21

recG4071

 

Rectal wall cut.
VID 212, frame 22

recP4072

 

Anterior wall opened.
VID 212, frame 23

recP4073

 

Beginning of anastomosis.
VID 212, frame 24

recP4074

 

The posterior wall of the rectum cut.
VID 212, frame 25

recP4075

 

Schematic anastomosis.
VID 212, frame 26

recG4076

 

Completed anastomosis.
VID 212, frame 27

recP4077

 

Completion.
VID 212, frame 28

recP4078

 

This page was last modified on 8/31/2000.
 

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