Term
| what is the name of fascia that is around rectum? |
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Definition
Fascia:
Waldeyer’s fascia: Rectosacral fascia that extends from S4 vertebral
body to rectum.
Denonvilliers’ fascia: Anterior to lower third of rectum. |
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Term
| 16. What is pectinate line and what is the significant about arterial blood supply |
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Definition
| In the ass.above the line sup rectal a. and below IRA. Below the line there is more sensory inervation so external hemo* may be more painful. |
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Term
| which artery supplies cecum, ascending colon, proximal two thirds of the transverse colon? |
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Definition
| Sup Mesenteric artery - via two arteries ileocolic, right colic, and middle colic arteries. |
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Term
which part of the colon is more anterior?
what part of the colon is attach to the post abdomen? |
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Definition
cecum, transverse colon, sigmoid colon
ascending and descending colon |
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Term
| what is MC watershed area? |
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Definition
splenic fl exure represents a “watershed” area between the areas
supplied by the superior and inferior mesenteric arteries. This watershed
area is particularly susceptible to ischemic injury as seen in ischemic
colitis. The other two watershed zones are the ileocecal area and the junction of descending and sigmoid colon |
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Term
| what is the hinchey staging system for diverticulitis? |
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Definition
The Hinchey staging system is often used to describe the severity of complicated diverticulitis:
Stage I includes colonic infl ammation with an associated pericolic abscess.
Stage II includes colonic infl ammation with a retroperitoneal or pelvic abscess.
Stage III is associated with purulent peritonitis.
Stage IV is associated with fecal peritonitis.
Stage I and II are treated by IV antibiotics and CT-guided aspiration.
If the abscess is inaccessible to drainage and not responding to antibiotics,
then it is treated surgically (drainage with Hartmann pouch or
sigmoid colectomy).
Stage III and IV need operative management. |
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