ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryTwenty patients with amebic ulcerative proctitis were treated with metronidazole. The rate of cure was 90 per cent. Metronidazole caused slight side‐effects in 15 per cent of the patients.The authors believe that the optimal treatment schedule is 800 mg three times a day for 20 days.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryWe have presented a double‐scope technic for complete removal under direct vision and control of mobile, high‐lying, benign lesions of the rectosigmoid colon, especially those above the peritoneal reflection.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryThe author describes retrorectal lowering of the colon with a temporary perineal colostomy, a modification of the Duhamel operation. The modification increases patient comfort by eliminating the original crushing clamps and renders the rectocolic anastomosis more secure.The perineal colostomy is resected between the seventh and the fifteenth postoperative days with an inverted “V” segment of the rectocolic septum, and the entire contour of the anastomosis is sutured with chromic catgut. The surgeon can delay as long as he feels necessary the resection of the perineal colostomy.The author describes the results of this procedure used in 50 patients with acquired megacolon. There was no leakage at the rectocolic anastomosis. Partial leakage of the rectal‐stump suture line was observed in five patients, in all of whom the section and suture of the rectum had been made at the level or below the peritoneal reflection. Fecal impaction in the rectal stump occurred in five cases; in these patients the section and suture of rectum had been high enough to maintain a blind space between the suture and the first Houston valve; fecal impaction occurred in the blind space.To prevent leakage of the rectal‐stump suture, the section and suture must be 3 to 6 cm above the peritoneal reflection. To prevent fecal impaction the blind space which remains between the first Houston valve and the suture of the rectal stump should be suppressed by a more invaginating second‐layer suture of the stump.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryThe records of 21 patients with volvulus of the colon are reviewed. The clinical picture is that of intestinal obstruction occurring in an elderly patient with a long history of bowel dysfunction. Distention of the abdomen is the most common physical finding.Positional roentgenograms of the abdomen reveal marked distention of the bowel. The diagnosis of colonic volvulus can be made from roentgenograms of the abdomen, but barium‐enema examination will reveal the true nature of the obstruction. Bariumenema studies are omitted in gravely‐ill patients or those with peritonitis.There was one death in the 21 patients treated, a mortality rate of 4.8 per cent.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryFive cases of acute leukemia with complicating anorectal necrotizing ulceration are reported. In all five, the ulcer was due toPseudomonasinfection, and was associated with death from septicemia. The distinctive characteristics of the ulcers are discussed in terms of the causal organism.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryPrimary perineal hernia is rare and may be mistaken for other diseases of the perineum and adjacent organs. It most often presents as a mass at the inferior margin of the gluteus maximus muscle. Reduction into the pelvis identifies the defect in the levator ani or coccygeus muscles. Discomfort with sitting is a common complaint. Most authors have preferred to repair primary perineal hernias through an abdominal incision.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID