梁林江肛肠病手术图解（英文版）

　　梁林江，全国中医肛肠界著名专家。本书以梁林江50余年来在痔、瘘、裂等肛肠疾病方面的临床经验为核心，通过图谱形式，展示典型病例及主要手术操作过程，详细介绍了梁氏的特色诊疗技术。书中每个病例附有说明，以体现各个病例的特殊性、手术操作的技巧性，尤其是手术操作过程中注意点的说明，对专科医生有较高的临床指导意义及实用价值。本书以特色技术为主体，以图片形式呈现手术方式，使病例说明更形象、更具体、更全面，配合文字说明。全英文编写，既可作为初级临床医生的指导用书，又可作为中高级医师的临床参考用书。

　　梁林江，现任上海市第四人民医院中医肛肠科学科发展顾问。曾任上海市第四人民医院中医肛肠科主任，上海市虹口区政协常委，中国农工民主党上海市虹口区区委委员。曾兼任中华全国中医学会肛肠分会常务理事，中医药高等教育学会临床教育研究会肛肠分会顾问会长，《中国肛肠病杂志》编委，上海市中医学会肛肠分会副主任委员，上海市中医肛肠医疗协作中心副主任委员，上海市中西医结合学会大肠肛门病专业委员会顾问，上海市医学会医疗事故技术鉴定委员会专家库成员。1993年荣获国务院颁发的专家特殊津贴，1995年荣获上海市博览城“科技功臣”称号，1997年被命名为上海市虹口区卫生学科带头人，2000年荣获“上海市劳动模范”称号，2002年荣获全国“五一”劳动奖章，2008年荣获“全国中医肛肠教育突出贡献名专家”称号，2018年被评为上海市虹口区名中医，2020年被评为上海市基层名老中医。钟盛兰，1996年7月毕业于上海中医药大学。主任医师，医学博士，上海市第四人民医院中医肛肠科主任，林氏痔科第六代传承人，第六批全国老中医药专家学术经验继承人。兼任中华中医药学会肛肠分会委员，中国女医师协会肛肠专业委员会委员，上海市女医师协会肛肠专业委员会常务委员，上海市中医药学会第十届肛肠分会常务委员，上海市医师协会第一届肛肠专业委员会委员，上海市中西医结合学会大肠肛门病专委会委员，第六届上海市医学会医疗事故技术鉴定专家库成员。

 Regional Anatomy of the Anus and Rectum 001
1.1 Anus 001
1.2 Anal Canal 001
 1.2.1 Def inition 001
 1.2.2 Structure of the Anal Canal 002
1.3 Rectum 004
 1.3.1 Morphology of the Rectum 004
 1.3.2 Vicinity of the Rectum 005
1.4 Muscles Surrounding the Anorectum 007
 1.4.1 Internal Anal Sphincter (IAS) 007
 1.4.2 External Anal Sphincter (EAS) 007
 1.4.3 Conjoined Longitudinal Muscle 008
 1.4.4 Levator Ani 009
1.5 Anorectal Spaces 010
1.6 Anal and Rectal Vasculature 012
 1.6.1 Arteries 012
 1.6.2 Veins 013
1.7 Lymphatic Drainage of the Rectum and Anus 014
 1.7.1 The Upper Group 014
 1.7.2 The Lower Group 015
1.8 Anal and Rectal Nerves 015
 1.8.1 Rectal Nerves 015
 1.8.2 Anal Nerves 015
2 Hemorrhoids 017
2.1 Introduction 017
 2.1.1 Etiology and Pathology 017
 2.1.2 Clinical Classif ication and Staging 025
2.1.3 Diagnosis 033
 2.1.4 Treatment 036
2.2 Surgical Illustrations of Hemorrhoids 041
 2.2.1 Stripping and Resection of Thrombosed External Hemorrhoids 041
 2.2.2 Hemorrhoidectomy of the Connective Tissue Type of External 
Hemorrhoids 043
 2.2.3 Stripping and Excision of External Hemorrhoids Characteristic 
of Varicose Veins 044
 2.2.4 Circumferential Ligation of Internal Hemorrhoids at a High 
Location 045
 2.2.5 Excision of the External Portion and Ligation of the Internal 
Portion of Mixed Hemorrhoids (1) 047
 2.2.6 Excision of the External Portion and Ligation of the Internal 
Portion of Mixed Hemorrhoids (2) 049
 2.2.7 Excision of the External Portion and Ligation of the Internal 
Portion of Incarcerated Mixed Hemorrhoids 051
 2.2.8 Stripping of the External Portion and Ligation of the Internal 
Portion of the Incarcerated Mixed Hemorrhoid 052
 2.2.9 Mixed Hemorrhoids with Eczema 054
 2.2.10 Mixed Hemorrhoids with Hypertrophied Anal Papillae 055
 2.2.11 Mixed Hemorrhoids with Anal Papilloma and Fissure 056
 2.2.12 Resection (of External Components) and Ligation (of Internal 
Components) of Circular Mixed Hemorrhoids 057
 2.2.13 Separation, Resection (of the External Component) and Ligation 
(of the Internal Component) of Circular Mixed Hemorrhoids (1) 061
 2.2.14 Separation, Resection (of the External Component) and Ligation 
(of the Internal Component) of Circular Mixed Hemorrhoids (2) 064
 2.2.15 Circular Mixed Hemorrhoids (Surgery in Stages) 066
 2.2.16 Circular Mixed Hemorrhoids Incarcerated 067
 2.2.17 Internal Hemorrhoid Ligation Technique 075
 2.2.18 Internal Hemorrhoid Injection Technique 076
3 Anal Fistula 080
3.1 Introduction 080
 3.1.1 Etiology and Pathology 080
 3.1.2 Clinical Classif ication 082
 3.1.3 Diagnosis 085
 3.1.4 Treatment 089
3.2 Surgical Illustrations of Anorectal Fistulas 097
 3.2.1 Fisturotomy of the Simple Low Anal Fistula 097
 3.2.2 Fisturotomy of the Complex Low Anal Fistula 099
 3.2.3 Fisturotomy of High Complex Anal Fistula in Conjunction 
with an Elastic Rubber Band 103
 3.2.4 Counter Drainage Technique in Association with a Posterior 
Horseshoe-Shaped Anal Fistula 115
 3.2.5 Laying Open Perineal Fistulas and Seton Placement Techniques 117
 3.2.6 Fisturotomy of the Perineal Fistula 118
 3.2.7 Anal Fistula with Mixed Hemorrhoid 120
 3.2.8 Perianal Fistulas in Children 122
 3.2.9 Plug Treatment for Anorectal Fistulae 123
 3.2.10 Anal Mucinous Adenocarcinoma 124
4 Anal Fissures 130
4.1 Introduction 130
 4.1.1 Etiology and Pathology 130
 4.1.2 Clinical Classif ication 132
 4.1.3 Diagnosis 133
 4.1.4 Treatment 136
4.2 Surgical Illustrations of Anal Fissures 138
 4.2.1 Integrated Approach of Fissurectomy and Sphincterotomy 138
 4.2.2 Probe-Guided Lateral Internal Sphincterotomy 150
5 Anorectal Abscesses 154
5.1 Introduction 154
 5.1.1 Etiology and Pathology 154
 5.1.2 Clinical Classif ication 156
 5.1.3 Diagnosis 157
 5.1.4 Treatment 160
5.2 Surgical Illustrations 162
 Incision and Drainage of Anorectal Abscess 162
6 Hypertrophied Anal Papillae 166
6.1 Introduction 166
 6.1.1 Etiology and Pathology 166
6.1.2 Clinical Manifestations 166
 6.1.3 Diagnosis 167
 6.1.4 Treatment 167
6.2 Surgical Illustrations 168
 Ligation and Excision of Anal Papilloma 168
7 Other Anorectal Diseases 172
7.1 Anal Eczema 172
7.2 Rectal Polyps 173
7.3 Flaccid Rectal Mucosa 174
7.4 Necrotizing Fasciitis 176
8 Routinely Used Surgical Instruments and Drugs in 
Anorectal Department 181
8.1 Routinely Used Surgical Instruments 181
 8.1.1 General Surgical Instruments 182
 8.1.2 Specialty Surgical Instruments 182
8.2 Chinese Medicine for Topical Use 184
 8.2.1 Qingdai Powder 184
 8.2.2 Jiuyi Pellet 184
 8.2.3 Hongyu Paste 184
 8.2.4 Shengji Powder 184
 8.2.5 Sanhuang Paste 184
Postscript 185