Clinical Ultrasound in Benign Proctology 2-D and 3-D Anal, medicalheaven radiology

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M. Pescatori
C.I. Bartram
A.P. Zbar
Clinical Ultrasound
in Benign Proctology
2-D and 3-D Anal, Vaginal
and Transperineal Techniques
Foreword by R.J. Nicholls
123
E
DITORS
Mario Pescatori
Villa Flaminia Hospital
Rome, Italy
Clive I. Bartram
St. Mark’s Hospital
Harrow, United Kingdom
Andrew P. Zbar
School of Clinical Medicine and Research
The University of West Indies
Queen Elizabeth Hospital, Barbados
C
ONTRIBUTORS
Paola De Nardi
Department of Surgery
San Raffaele Scientific Institute
Milan, Italy
Maria Spyrou
Villa Flaminia Hospital
Rome, Italy
Stella Ayabaca
Villa Flaminia Hospital
Rome, Italy
Carlo Ratto
Department of Surgical Sciences
Gemelli Hospital
Rome, Italy
Library of Congress Control Number: 2006923047
ISBN-10 88-470-0366-0 Springer Milan Berlin Heidelberg New York
ISBN-13 978-88-470-0366-8 Springer Milan Berlin Heidelberg New York
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Foreword
A large proportion of the proctologist’s work includes common benign disor-
ders of the sphincter and pelvic floor musculature and anorectal sepsis. Ultra-
sound has been part of the pretreatment assessment of these for many years.
It adds to clinical examination and may supply the essential information on
which the management decision is taken. Most importantly it gives an objec-
tive picture of the pathology, which is vital for discussion among clinicians and
radiologists as part of the decision-taking process. Thus it supplies a permanent
record not only useful for diagnosis and treatment but also for assessing out-
comes after treatment. It may have special medicolegal value. The role of ultra-
sound in research has been considerable. For example, it has enabled a greater
understanding of the anatomy of the sphincter and pelvic floor and it has made
a major contribution to the assessment of incontinence and its management.
It can give important information beyond the clinical examination in estab-
lishing the surgical anatomy of anorectal sepsis.
Ultrasonography has developed immensely during the last twenty years. In
proctology, its initial application to rectal cancer has expanded owing to the
invention of probes suitable for anal and pelvic floor imaging. The introduction
of three-dimensional ultrasound and, latterly, transperineal sonography has
increased the opportunities and sensitivity for static and now dynamic assessment.
This book is written by authors who have played a major part in the devel-
opment of ultrasonography in proctology. Therefore, it carries the authority
of understanding and experience. In dealing with all aspects of benign anal
and pelvic disorders, the authors give an up-to-date account of its present role
with indications of potential future developments. The text is detailed and is a
mine of information that will be useful to all practitioners dealing with proc-
tological conditions. It will therefore appeal not only to surgeons and radiolo-
gists but also to gastroenterologists and primary care physicians whether in
established independent practice or in training. The bibliography is extensive
and will be a most valuable resource to the reader. It is clearly written and the
illustrations are of high quality and very informative.
Clinical Ultrasound in Benign Proctology
will be of great value to all prac-
titioners involved in coloproctology.
March, 2006
R.J. Nicholls
Harrow, UK
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