摘要:

&NA;All large‐bowel stomas (198) performed between 1970 and 1980 in a community hospital were reviewed. Twenty‐nine stomas were loop transverse colostomies. There were five deaths, a complication rate related to the stoma of 28 per cent, and only 18 patients ever achieved colostomy closure. Our conclusions are as follows: (1) transverse colostomy is a holdover from the past; (2) “temporary” loop colostomy is a misnomer; (3) all colostomies should be end‐bearing and matured primarily; (4) blind surgery invites tragedy; (5) loop transverse colostomy is a risky first stage with little benefit; (6) every colostomy should be placed as near as possible to the disease process; and (7) resection of the disease is the ideal first stage.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Malignant fibrous histiocytoma is a primitive mesenchymal tumour usually found in the soft tissues of the extremity or torso of adults. Only two previous reports of this lesion in the abdominal viscera are present in the world medical literature. A case is reported of three synchronous tumors in the rectum, colon, and omentum with the pathologic appearance of malignant fibrous histiocytoma. Although resected completely with a transverse colocolostomy and a low‐anterior resection, the expected behavior of this tumor is one of aggressive local recurrence followed by distant metastasis. The clinical and pathologic characteristics of malignant fibrous histiocytoma are reviewed.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;The rationale of nonoperative hemorrhoid treatment, whether injection, ligation, or cryotherapy, consists of correction of prolapse and bleeding by the creation of submucosal fibrosis. Cryotherapy of hemorrhoids is most effective and has the least side effects when directed at the internal hemorrhoids only, at a high level, and in stages, each application being for a period of one minute only. A plan of treatment selection is presented, based on the stage of the hemorrhoids. The results of 528 treatment procedures are reported.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Rubber band ligation was used in 221 patients with first or second‐degree hemorrhoids. All three primary hemorrhoids were ligated at a single out‐patient session without anesthesia. Nineteen patients were lost to follow up. For the 202 patients under review, the follow up period ranged from three to 39 months with a mean of 18.4 months and median of 17 months. Excellent or good results were obtained in 183 patients (90.6 per cent). Moderate to severe pain was noticed by 58 patients (28.7 per cent). Further banding was required in 28 patients (13.9 per cent) and hemorrhoidectomy in six patients (3 per cent). The overall complication rate resulting from the treatment procedure was 3.5 per cent.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;During the first 60 years of this century, a seemingly logical and effective operation for carcinoma of the colon was developed. The basic features of the operation are early isolation of the malignancy, wide lymphadenectomy, excision of involved adjacent organs when indicated, and adequate colonic resection. In 1977 a report appeared that purported to show that less radical procedures were equally effective in curing the disease and associated with less morbidity than the more extensive operation. This paper questions the validity of that report and gives other reported data which tend to refute that view. However, all reported series are retrospective and therefore the answer to the question posed in the title is: “We don't really know.” A plea is made for a sponsored, randomized, prospective trial to see if a lesser operation will provide the same cure rate.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;A prospective study was designed to evaluate multiple rectal biopsy examinations for dysplasia in 34 patients who had ileorectal anastomosis performed, following colectomy for inflammatory bowel disease. Although all but eight patients had persistent inflammatory activity on histologic examination, only one patient who demonstrated villous transformation of the mucosa clinically, showed carcinomain situin the excised rectal specimen. A protocol for surveillance of preserved rectums in inflammatory bowel disease is offered.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Thirty adenomas of the large bowel, removed from 15 females and 15 males, were examined for the presence of estrogen receptor protein. The finding of positive binding capacity in two of the 30 adenomas supports the hypothesis that hormonal dependency does not play a major role in the development and growth of colorectal adenomas.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;A series of 62 patients was studied as regards healing of the perineal wound after proctectomy; 23 patients suffered from ulcerative colitis, 25 from Crohn's colitis, and 14 from polyposis coli. The overall results were in keeping with data from the literature: 73.9 per cent of wounds in patients with ulcerative colitis and 60 per cent of wounds in patients with Crohn's colitis were healed at six months. The worst results were obtained with packing of the perineal wound, especially in inflammatory bowel disease: 61 per cent of those wounds were not healed at six months. Superior results were obtained with conservative surgery, consisting of perirectal excision and intersphincteric resection. With this technique perineal wounds were not healed at six months in 13.6 per cent of patients with inflammatory bowel disease. In the treatment of persistent sinuses after proctectomy, curettage proved disappointing. Better results were obtained with excision of the sinus tract and primary closure of the resulting wound.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID