Clarification Of Anorektalkrankheiten

The anal canal begins at the anal margin and ends at the anorectal connection (Linea pectinea, mucocutaneous connection dentate line) where 8-12 crypts and 5-8 papillae lie. The anal canal is lined with a anoderm, a continuation of the outer skin. The anal canal and the adjacent skin are innervated by somatic sensory nerves, they are very sensitive to pain stimuli. Venous drainage from the anal canal is carried out in the Kavasystem, however, the anorectal connection can drain into both the portal in the Kavasystem. The lymphatic vessels from the anal canal leading to the internal iliac lymph nodes to the posterior vaginal wall and to the inguinal node. The venous and lymphatic drainage determines the propagation of malignant tumors and infections.

See also debris of the GI tract and anorectal cancer.) The anal canal begins at the anal margin and ends at the anorectal connection (Linea pectinea, mucocutaneous connection dentate line) where 8-12 crypts and 5-8 papillae lie. The anal canal is lined with a anoderm, a continuation of the outer skin. The anal canal and the adjacent skin are innervated by somatic sensory nerves, they are very sensitive to pain stimuli. Venous drainage from the anal canal is carried out in the Kavasystem, however, the anorectal connection can drain into both the portal in the Kavasystem. The lymphatic vessels from the anal canal leading to the internal iliac lymph nodes to the posterior vaginal wall and to the inguinal node. The venous and lymphatic drainage determines the propagation of malignant tumors and infections. The rectum is a continuation of the sigmoid is, it starts at the level of the third sacral vertebra and continues up to the anorectal connection. The lining of the rectum is made up of a red glossy, glandular mucosa, which is supplied by autonomic nerves, and is relatively insensitive to pain. Venous drainage is via the portal. The lymphatic return current from the rectum is carried along the upper hemorrhoidal vascular pedicle to the lower mesenteric and aortic lymph nodes. The Sphinkterring surrounding the anal canal, is composed of an internal sphincter, the central portion of Levatoren and parts of the external sphincter. The front part of the sphincter is vulnerable to trauma, which can lead to incontinence. The puborectalis forms a muscular sling around the rectum and supports the defecation. History The history should include details of bleeding, pain, prolapse, discharge, swelling, abnormal sensations, bowel habits, incontinence, stool consistency, the use of laxatives and enemas, and abdominal and urogenital symptoms. All patients should be asked about anal intercourse and for possible causes of injuries and infections. Physical examination The examination should be done carefully and under good light conditions. It consists of an external inspection, a digital perianal and intrarectal palpation, an examination of the abdomen and a bidigitalen, rectovaginal palpation. A rectoscopy and a rigid or flexible sigmoidoscopy up to 15-60 cm above the anal canal are often connected (rectoscopy and sigmoidoscopy). Inspection, palpation and anodes and sigmoidoscopy are best performed in the left lateral position (position after Sim) of the patient or on a gynecological chair. For painful lesions of the anus can be a local (5% Lidocainsalbe), a regional or even a general anesthesia are required. If the patient tolerates it, you can make it easier with a cleansing phosphate enema sigmoidoscopy. Are taken for cultures and arranged imaging tests if indicated biopsies, smears and material.

Health Life Media Team

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