Coloproctology

EMM: Coloproctology presents the state-of-the-art in coloproctology. The topics covered include anatomy, physiology, anal disorders, dermatology, functional disorders, inflammatory bowel disease, benign and malignant tumours, endoscopy, emergencies a

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European Manual of Medicine

Coloproctology A. Herold, P.-A. Lehur, K. E. Matzel, P. R. O’Connell Editors



 . Arnold W U. Ganzer Series Editors

A. Herold P.-A. Lehur K. E. Matzel P. R. O’Connell Editors

Coloproctology With 90 Figures and 35 Tables

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Series Editors

Volume Editors

Professor Dr. Wolfgang Arnold Department of Otorhinolaryngology, Head & Neck Surgery Technical University of Munich Klinikum rechts der Isar 81675 München Germany Email: [email protected]

Professor Dr. Alexander Herold Enddarm-Zentrum Mannheim Bismarckplatz 1 68165 Mannheim Germany Email: [email protected]

Professor Dr. Uwe Ganzer Department of Otorhinolaryngology, Head & Neck Surgery University of Düsseldorf 40225 Düsseldorf Germany Email: [email protected]

ISBN  978-3-540-71216-9

Professor Paul-Antoine Lehur, MD Clinique Chirurgicale, Hôtel-Dieu Institut des Maladies de l’Appareil Digestif Place Ricordeau 44093 Nantes Cedex France Email: [email protected] Professor Dr. Klaus E. Matzel Chirurgische Klinik Universitätsklinikum Erlangen-Nürnberg Krankenhausstraße 12 91054 Erlangen Germany Email: [email protected] Professor P. Ronan O’Connell, MD, FRCSI, FRCS (Glasg) University College Dublin St. Vincent’s University Hospital Elm Park Dublin 4 Ireland Email: [email protected]

e-ISBN  978-3-540-71217-6 DOI  10.1007/978-3-540-71217-6 Library of Congress Control Number: 2007939779 © 2008 Springer-Verlag Berlin Heidelberg This work is subject to copyright. All rights are reserved, whether the whole or part of the material isconcerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer Verlag. Violations are liable to prosecution under the German Copyright Law.

Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Frido Steinen-Broo, eStudio, Calamar, Spain Typesetting and Production: le-tex publishing services oHG, Leipzig, Germany Printed on acid-free paper

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Foreword of the Series Editors

The European Manual of Medicine was founded on the idea of offering residents as well as specialized clinicians the latest European up-to-date information on diagnosis and treatment in medicine. In contrast to existing national textbooks, the European Manual of Medicine aims t