Abdominal wall and colo-rectal pathology.
The author reports the results of his experience in reconstructive surgery of the abdominal wall and of statics disorders of the pelvic organs on colo-rectal functional disturbances. Hernias and mostly eventration of the anterior or lumbar abdominal wall diminish or suppress the abdominal pressure aiding in the emptying of the rectum. Large dacron sub-peritoneal prostheses provide strength and permit an effective muscular contraction. Pelvic statics disorders cause painful manifestations, difficult to analyze, and the patients are torn between gynecologist and proctologist: these are painful symptoms of the Douglas' cul-de-sac. Examination must be based on objective signs obtained from barium enema during defecation. The treatment rests on a high fixation of pelvic organs and obliteration of the cul-de-sac.
D000009:Abdominal Muscles / Q000503:physiopathology* / Q000601:surgery; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006555:Hernia, Ventral / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D009119:Muscle Contraction; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013577:Syndrome