ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

SummaryAbdominoperineal resection was performed on 300 patients during the period from January 1950, to December 1954. All 300 cases were reviewed from the standpoint of immediate postoperative complications associated with this procedure. In 18 cases the follow up period was too short to determine whether late complications occurred.Some type of complication developed in 58.3 per cent of the group. The highest incidence of complications was related to the urinary tract (27 per cent). The most serious were cardiovascular and pulmonary complications.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

ConclusionsThere are many procedures which can be utilized in the treatment of procidentia of the rectum. The age and physical condition of the patient are important factors to be considered when making the choice of the procedure.The abdominal approach is favored by us in treatment of healthy, young adults. The perineal approach is favored in the feeble and aged patients.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

Summary and ConclusionsThe impression had been gained in the section of proctology of the Mayo Clinic that many of the polyps and polypoid lesions of the lower part of the large intestine could be managed satisfactorily by conservative means (local excision or fulguration). In order to determine just how satisfactory the proctologists' judgment had been in deciding upon the proper course to follow in the management of equivocal lesions, a study was made of 244 patients who had polypoid lesions in which microscopically proved, early adenocarcinomatous changes were diagnosed in the years 1945, through 1949. The results of the study indicate that conservative management is effective when applied to certain early polypoid lesions of low‐grade malignancy that meet the following requirements: (1) no fixation to surrounding structures and lesion freely movable over underlying muscularis of bowel wall, (2) no firmness or nodularity within lesion, (3) no gross evidence of linear or serpiginous infiltration of adjacent mucosa or submucosa, (4) no evidence of obstruction as manifested by dilatation of bowel proximal to lesion and (5) no evidence of ulceration of lesions whether sessile or pedunculated, and no defect in contour of lesion indicative of necrosis.Conservative management would possibly be more successful if lesions measuring 5 cm. or more in greatest diameter were considered unsuitable for fulguration or local excision.Although the matter of invasion was not determined in this series when the original biopsy specimens were examined prior to treatment, those lesions subsequently shown to be associated with invasion were treated successfully by conservative means when the gross features of the lesions seemed to warrant fulguration.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

Summary and Conclusions1. Schistosomiasis is a widespread tropical disease cause by a blood fluke and is essentially a blood borne disease.2. Various rectocolonic stages of schistosomiasis follow the deposition of ova in the bowel wall causing catarrhal inflammation, suppuration, ulceration and formation of adenomas and granulomas. There are cases of cancer of the colon associated with schistosomiasis. Schistosomiasis may involve the colon and rectum and yet not manifest itself clinically.3. Symptomatic medical treatment is needed for the first three stages while some type of surgical excision is required for the last three stages of the disease.4. When there is evidence of malignancy, appropriate surgical procedures should be employed.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

SummaryLarva migrans may produce para‐anal pyogenic infection and symptoms referable to the anal region. The epidemiology and pathology of the disease have been outlined and the most recent advances in treatment presented.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

Conclusions1. Sigmoidoscopy is a valuable adjunct to clinical and roentgenologic studies in establishing the diagnosis of diverticulitis of the colon.2. Roentgenology affords the most valuable single means of detecting diverticula of the colon.3. Aside from actually seeing the lumina of the diverticula, the finding of sacculations is the most positive sigmoidoscopic indication of the presence of diverticula.4. Fixation and angulation of the bowel or a localized superficial inflammatory reaction with edema of the intestinal mucosa are two additional valuable aids in the diagnosis of diverticulitis.5. Other sigmoidoscopic findings, such as angulation or immobility of the bowel, mucosal edema, narrowed lumen and extrarectal mass, are of value in supporting a diagnosis of diverticulitis, but are not diagnostic in themselves, as they may be observed also in diseases of the pelvic organs or following pelvic surgical procedures.6. Sigmoidoscopy often proves of value in distinguishing between diverticulitis and malignancy.7. The nature of various obstructive lesions of the lower portion of the colon often can be determined by sigmoidoscopic examination.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

SummaryThe function of the levator ani muscle constitutes an important factor in maintaining the rectum in its normal position. The muscle, which is firmly fixed to the rectum, elevates, angulates, and supports the distal end of the rectum. In procidentia, this levator mechanism is often defective. We believe that this support can be restored by the placement of a fascial graft posteriorly across the lower rectum and attached anteriorly to the pubis. This puborectalis fascial sling tends to restore the natural support of the lower rectum. This type of procedure has been used successfully in five patients with severe rectal procidentia.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

摘要:

SummaryVillous tumor is a relatively rare epithelial tumor of the large intestine that occurs predominantly in the rectum. Its gross appearance and clinical behavior make it distinct from adenomatous polyps. Its malignant potential is greater than that of adenomatous polyps.We have encountered 71 cases during a period of 12 years. All of our patients, except those with extremely small lesions, were subjected to repeated proctoscopy, barium enema, barium enema with air contrast studies, as well as repeated biopsies, before treatment was instituted.Because of the variation in size and situation of the tumor and the apparent discrepancies in the clinical manifestations and pathologic alterations, the treatment must be individualized. In general, our treatment has followed a conservative trend except in instances in which the preoperative biopsy report was carcinoma, or carcinoma was strongly suspected clinically. We have had no reason to change this therapeutic approach.

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1958

数据来源: OVID