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Proktologie

  • Conference paper
Verhandlungen der Deutschen Gesellschaft für Chirurgie

Part of the book series: Langenbecks Archiv für Chirurgie ((KONGRESSBAND,volume 1989))

Summary

The internal (hemmorrhoidal) plexus consists of two groups of veins separated by the musculus canalis ani. The submucosal group forms the zona hemorrhoidalis. A direct communication between arteries and veins is the characteristic sign of this functional part of rectal circulation. In the nutritient part, the arterioles divide into capillaries. The vessels of the zona hemorrhoidalis are wrapped in by a system of elastic fibers, which split with age. Common pathogenetic factors of hemorrhoids may involve the spasm of anal sphincters and the absence of elastic fiber support of the plexus.

Zusammenfassung

Der Plexus rectalis (haemmorrhoidalis) besteht aus zwei Venengruppen, die durch den M. canalis ani getrennt sind. In die submukösen Venen münden Arterien direkt ein; sie stellen den funktionellen Teil der Rectumzirkulation dar. Im nutritiven Teil gehen die Arterienäste in Kapillaren und dann in Venen über. Die Gefäße sind von einem Gitter elastischer Fasern umgeben, das im Alter zerreißt. Der muskuläre Spasmus und das Fehlen des elastischen Widerlagers sind u.a. pathogenetische Faktoren des Haemorrhoidalleidens.

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Author information

Authors and Affiliations

  1. Anatomisches Institut, Universität Hamburg, Martinistraße 52, D-2000, Hamburg 20, Deutschland

    W. Lierse

  2. Chirurgische Universitätsklinik Bonn, Venusberg, D-5300, Bonn, Deutschland

    F. Stelzner

  3. Chirurgische Abteilung des Ev. Krankenhauses Alten Eichen, Jütländer Allee 48, D-2000, Hamburg 54, Deutschland

    A. Dörner & R. Winkler

  4. Departement Chirurgie, Klinik für Viszeralchirurgie Universitätsspital Zürich, Rämistr. 100, CH-8091, Zürich, Deutschland

    P. Buchmann

  5. Goethestraße 9, D-2300, Kiel, Deutschland

    J.-U. Bock

Authors
  1. W. Lierse
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  2. F. Stelzner
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  3. A. Dörner
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  4. R. Winkler
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  5. P. Buchmann
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  6. J.-U. Bock
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Editor information

Editors and Affiliations

  1. Steinbacher Hohl 28, D-6000, Frankfurt a.M. 90, Deutschland

    E. Ungeheuer (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie) (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie)

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© 1989 Springer-Verlag Berlin Heidelberg

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Lierse, W., Stelzner, F., Dörner, A., Winkler, R., Buchmann, P., Bock, JU. (1989). Proktologie. In: Ungeheuer, E. (eds) Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1989. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48162-8_29

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  • DOI: https://doi.org/10.1007/978-3-642-48162-8_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51489-3

  • Online ISBN: 978-3-642-48162-8

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