ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

摘要:

Summary and ConclusionsAll patients suffering with ulcerative colitis should be under the combined management of both internist and surgeon. Experience proves that the risk is great when operating upon patients desperately ill with acute fulminating ulcerative colitis, those with massive hemorrhage, and those with peritonitis caused by perforation. However, in the absence of these complications, the risk is little greater than that of resection of the colon for cancer.Acute fulminating ulcerative colitis should be operated upon if there is rapid deterioration of the patient caused by perforation and peritonitis. Surgical delay is justifiable only when there is improvement. Not more than one week of conservative treatment is permissible when there is no improvement. In these cases, ileostomy and subtotal colectomy, followed by proctectomy (when the patient's condition permits) are the procedures of choice.In chronic ulcerative colitis, the principal indications for operation are extreme disability and intractability, despite medical management, carcinoma, extensive mutiple polyposis, and complications such as abdominal abscesses and enterocolic and colocutaneous fistula, acute massive hemorrhage, perforation and peritonitis, partial or complete intestinal obstruction, and perineal abscesses and fistulas.The procedure of choice is complete colo‐proctectomy and ileostomy performed in one stage, if the patient's condition permits. If there is some question concerning the patient's condition, ileostomy and subtotal colectomy, followed in three to six weeks by proctectomy, should be performed.

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

摘要:

SummaryFour cases of solitary ulcer of the rectum of unknown etiology are presented. The ulcers bore a certain similarity in appearance, in location, in their chronic course and in resistance to treatment.

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

摘要:

SummaryA case of granular cell myoblastoma of the buttock is reported. It is an uncommon tumor of undetermined origin. Usually diagnosis is made after histologic examination. Although it is usually a benign growth involving the tongue or subcutaneous tissues, it can be malignant. Complete removal and long‐term follow up is the approved method of treatment.

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID

摘要:

Summary and ConclusionsThe seventeenth case of epidermoid carcinoma arising in a pilonidal sinus is presented. Treatment and results of reported cases are reviewed. For the sake of completeness, four additional cases of unspecified types of pilonidal cancer are included.A review of all reported cases indicates that: 1) Distant metastasis occurs with about the same frequency as with epidermoid carcinoma arising in antecedent benign lesions elsewhere in the body; 2) Local treatment should consist of wide surgical removal. Irradiation by x‐ray is helpful in controlling nonresectable disease; and 3) The inguinal lymph nodes should be the object of careful clinical evaluation in every patient and probably should be biopsied in all cases. The presence of positive nodes is an indication for radical groin dissection unless distant, noncurable metastasis can be demonstrated.

ISSN:0012-3706    

出版商:OVID    

年代:1965

数据来源: OVID