The present study explored the benefit of preoperative chemoradiotherapy (PCRT) for sphincter preservation in locally advanced low-lying rectal cancer patients who underwent stapled anastomosis, especially in those with deep and narrow pelvises determined by magnetic resonance imaging.Patients with locally advanced low-lying rectal cancer (≤5 cm from the anal verge) who underwent stapled anasto...

BACKGROUND This report describes a new technique of sphincter saving anorectoplasty (SSARP) for the repair of anorectal malformations (ARM). METHODS Twenty six males with high ARM were treated with SSARP. Preoperative localization of the center of the muscle complex is facilitated using real time sonography and computed tomography. A soft guide wire is inserted under image control which serve...

Anorectal melanomas (ARM) are rare malignancies accounting for 0.4-0.6% of all melanoma cases and 1% of anorectal malignant tumors [1,2]. Surgery remains the gold standard treatment since melanoma are resistant to chemotherapy as well as radiotherapy. Conventionally two forms of surgical treatment are applicable for ARM–Abdominoperineal resection (APER) and wide local excision (WLE) [3]. Though...

Background: Fistula-in-ano is an abnormal tract that usually connects rectal mucosa and perianal skin thus accounting upto 90% cases with incidence of 5.6/100.000 in women while 12.3/100.000 men. Aim: To determine the frequency healing patients high lying fistlua ano undergoing VAAFT. Study design: Cross-sectional study. Methodology: Patients (n=153) were enrolled during All had DRE proctoscopy...

BACKGROUND AND STUDY AIMS Sphincter of Oddi manometry is considered to be the gold standard for diagnosing sphincter of Oddi dysfunction (SOD). Elevated basal sphincter pressures are found in about half of the patients with findings consistent with biliary type II SOD, and most of these patients will symptomatically improve after endoscopic sphincterotomy. Since manometric sphincter evaluation ...

Carpeted villous adenomas of rectum may be extensive and not suitable for transanal excision or Endoscopic mucosal resection. We present a case of such lesion extending from anorectal junction to rectosigmoid region. After biopsy and staging, this was managed by a sphincter saving procedure, i.e. a combination of transabdominal total mesorectal excision and transanal intersphincteric dissection...

..........................................................................................7 LIST OF PAPERS ................................................................................ 9 ABBREVIATIONS ............................................................................ 10 INTRODUCTION ..............................................................................11 DEVELOPMENT OF RECT...