摘要:

&NA;A questionnaire was sent to ten patients who had had conventional ileostomies converted to continent ileostomies. The first part of the questionnaire was concerned with the function of the continent ileostomy. In the second part, the two types of ileostomies were compared with regard to functional aspects and their influences on the daily lives of the patients. When the patients compared the situation with the conventional ileostomy to the situation with the continent ileostomy, it was found that the conventional ileostomy influenced the daily lives of the patients much more than generally has been recognized, and also that successful conversion to the continent ileostomy eliminated most of the drawbacks of the conventional ileostomy.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;The decompressive effects of adjunct procedures commonly used in conjunction with colonic surgery were studied. A 9‐inch length of terminal colon was excised and colorectal anastomosis performed. Intracolonic pressures were measured at three levels in the colon 5 cm apart. Resting intracolonic pressures in Group B (sphincter stretched) dogs were significantly higher than those in Group A (controls) and lower than those in Group C (cecostomy) and Group D (colostomy). There was no significant difference between resting intracolonic pressures in Group C and Group D. This study indicates that tube cecostomy and transverse colostomy are equally effective in decompressing the colon in apparently healthy dogs, while forced stretching of the sphincter is not effective. Neostigmine did not increase intracolonic pressure, which seems to suggest that the bowel is not responsive to extraneous parasympathomimetic agents in the early postoperative phase.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;Three hundred ninety‐two patients underwent surgical treatment for injuries of the large intestine and rectum. The types of surgical intervention employed in these patients varied with severity of the trauma and location of injury. The highest incidence of wound infections and intra‐abdominal abscesses occurred in the primary‐repair group. Decompression technic significantly reduced the length of hospitalization, as seen in those patients with rectal injuries. This investigation does not support the contention that transfer patients are subject to a significant delay before surgery.An important surgical teaching principle is re‐emphasized, namely, that trauma surgery involves a contaminated field and unnecessary surgery, such as incidental appendectomies, should be prohibited. The extent of contamination of tissue destruction, and not location of injury to the large bowel, predisposes the patient to increased morbidity.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;In a long‐term follow‐up study, individuals with colorectal polyps had a significantly higher incidence of the development of colorectal carcinomas than the unaffected population. The vast majority of these carcinomas were not within the reach of the sigmoidoscope. Individuals who have had colorectal polyps should have careful follow‐up studies for the rest of their lives.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;Barium‐enema studies of 200 asymptomatic patients who had been found to have one or more rectal polyps were performed. Significantly positive pathologic conditions (neoplasms) were found in 2.5 per cent of the patients. A significant difference in the frequency of more proximal lesions was seen when patients with pedunculated polyps of the rectum were compared with those having sessile polyps.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;While spontaneous amputation of colonic polyps occurs frequently in children with juvenile polyps, such autoamputation is rare in adults. Two cases of autoamputation of colonic polyps are reported here: in one, the passage of a polypoid papillary adenocarcinoma, 2×3 cm, was accompanied by cramps, severe bleeding and syncope; in the other, a benign adenomatous polyp, 2×3 cm, was passed with no accompanying symptoms.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID

摘要:

&NA;The charts of 454 patients undergoing anorectal surgery at Saint Barnabas Medical Center in 1969 were analyzed in regard to age and sex distribution, type of anesthesia employed, nature of surgical procedure performed, amount of postoperative analgesic required, frequency of postoperative urethral catheterization, duration of hospital stay, frequency of postoperative hemorrhage, rectal packing, postoperative infection, fecal impaction, and postoperative days to first bowel movement.It was found that the most commonly employed form of anesthesia was caudal, and that the most commonly performed procedure was hemorrhoidectomy. The average number of doses (equivalent to 1/4 gr of morphine) of analgesic given postoperatively was 1.78. An average of 5 per cent of patients needed catheterization postoperatively. Average postoperative hospital stay was 5.0 days. Average number of days to first bowel movement postoperatively was 2.7. The overall incidence of hemorrhage, not treated by packing, was 9 cases. Seven patients needed rectal packing. Six patients developed postoperative fecal impaction. No instance of significant local infection was recorded.

ISSN:0012-3706    

出版商:OVID    

年代:1974

数据来源: OVID