摘要:

&NA;Recurrent rectal prolapse or postoperative rectal stricture occurred in four of 88 patients (4.5 per cent) who underwent Teflon sling repair at the Lahey Clinic during the past 15 years. Management of these and six other similar patients referred for treatment suggests that young men appear to be at a higher risk for recurrence. Strictures may be more likely to develop in patients with a long history of prolapse or problems with constipation. Teflon sling repair followed by recurrent prolapse or stricture formation should probably be treated by low anterior resection.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;We feel that a pedicle graft of omentum makes an excellent protective wrapping about low anterior resections. We do not propose the technique to cover sloppily constructed anastomoses. Good nutrition, proper timing, adequate bowel preparation, and good surgical technique are the keys to successful low anterior resection, while omental pedicle grafting adds a further dimension in helping to assure a complication‐free postoperative course.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;We have found intravenous glucagon useful in overcoming the spasm of the rectal stump that one sometimes encounters while performing transanal end‐to‐end anastomosis using the EEA stapling device.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;There are a number of reasons why radiotherapy is better given before rather than after radical surgery for rectal cancer. When this policy is adopted, however, two related problems arise. First, how are patients requiring radiotherapy to be selected? Second, how are irradiated patients to be compared with unirradiated patients stage by stage in clinical trials?It is suggested that the Dukes' staging system is in‐appropriate for both, and that a clinical staging system for rectal cancer is urgently required to solve both these problems. The way in which such a staging system might be developed is indicated.In the meantime trials of adjuvant radiotherapy for carcinoma of the rectum should be interpreted with caution for two reasons. First, a reduction in local recurrence may not necessarily be reflected in a reduction in death rates. Second, since the origin of local recurrence is obscure the radiation dose to the regional lymph nodes should be recorded carefully.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;In conclusion, among the numerous factors which have been associated with the complications of treatment for gynecologic malignancy, our review indicates that problems are to be anticipated among patients with endometrial carcinoma, and with advanced stage disease requiring radiation, and particularly brachytherapy, along with other therapeutic modalities. Hypertension and other cardiovascular disorders seem to play a role, with obesity, diabetes and previous surgery or inflammatory disease a lesserone.Early radiation reaction may suggest later problems, and biopsy of rectal or vaginal changes may directly relate to ultimate fistulization.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;Acute small‐intestinal obstruction is not an uncommon complication following excisional operation for inflammatory disease of the bowel. In the Monash series the most common cause was adhesion formation. Stoma problems accounted for a small number. There was a special tendency for the complication to appear soon after the excisional surgery. A significant mortality rate accompanied obstructive complication and, over the long term, one in five patients needed further surgery for a recurrence.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;A 28‐year review of the records at Hines V.A. Medical Center revealed 17 primary epithelial tumors of the appendix. Five of these tumors were benign and 12 malignant. It is suggested that the term mucocele be abandoned, because it represents the end result, rather than a definite pathologic entity. The majority of benign tumors and carcinoid tumors of the appendix are discovered incidentally to other procedures. The majority of adenocarcinomas cause symptoms and signs of appendicitis.Simple appendectomy is sufficient treatment of all benign tumors of the appendix, and for all carcinoids that show no gross local metastases and are less than 2 cm in diameter.Simple appendectomy followed by right hemicolectomy or initial right hemicolectomy is the treatment of choice for all carcinoids of the appendix that show gross local metastases and are 2 cm or more in diameter and for all adenocarcinomas of the appendix, whether mucinous or colonic, in the absence of distant metastasis.A new classification for primary epithelial tumors of the appendix is suggested.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID