Anal fissure is one of the most common causes of severe anal pain. Factors which predispose people to develop anal fissure include diarrhea, constipation, childbirth, medication as well as constant saddle vibration (amongst professional mountain-bikers) and using a jet of water from a bidet-toilet. For many years, it has been generally accepted that a sphincterotomy, whether surgical or pharmac...

OBJECTIVE To determine if anatomic primary repair with end-to-end reconstruction of the external anal sphincter (EAS) in its full length combined with separate repair of coexisting internal anal sphincter (IAS) tear, when present, results in less incontinence and better anal sphincter integrity compared with conventional primary end-to-end repair in which the IAS is not actively reconstructed. ...

The ability to hold stool (called continence) requires the rectum, anus and nervous system to be working normally. Two groups of muscles in the wall of the anus and rectum are responsible for holding the stool in the rectum, the outer muscle group (external anal sphincter) and the inner muscle group (internal anal sphincter). Your ability to sense the presence of stool in the rectum (called rec...

The rapidly growing industrial activities in emerging economies such as China have been causing resource depletion and pollution problems. This reality requires China to adopt an integrated management approach to resolve the conflict between industrial development and environmental protection, and the concept of circular economy (CE) serves this purpose. In this paper, we examine if different t...

We propose, fabricate, and study a double-layer chiral planar metamaterial that exhibits pronounced circular dichroism at near-infrared wavelengths. The antisymmetric oscillation modes of the two coupled layers allow local magnetic-dipole moments and enhanced polarization effects compared with similar single-layer systems where only electric-dipole moments occur. Experiment and rigorous theoret...

cle, rather than the internal sphincter, may be injured during a PPH because it is recommended to perform the procedure two to five centimeters above the dentate line [7]. If the staple line is at the level of the dentate line and the specimen involves smooth muscle, one can conclude that an injury to the internal sphincter happened during the PPH. However, there was no change in continence, no...

...................................................................................................................9 INTRODUCTION ......................................................................................................11 REVIEW OF THE LITERATURE .............................................................................13 1. History of anal incontinence ............................