ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06641.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

With what measure ye mete it shall be measured to you. St Mark, iv, 24.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06642.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The classical abnormalities found in patients with complete rectal prolapse … wide deep pelvic peritoneal pouch, unsupported redundant rectum with long mesorectum, weak pelvic floor and anal sphincters … are probably effects rather than causes. “Pelvic floor weakness” must explain few cases, since old age, multiparity, uterine prolapse, are found in a minority. The fact that operations which do no more than fix the rectum in the sacral hollow are most successful and often cure incontinence if present is the best evidence that lack of support of the rectum is a prime cause of prolapse … but it is equally likely that such operations work by preventing intussusception, now regarded as the likely mechanism (rather than sliding herniation) of complete rectal prolapse. It is suggested that rectal prolapse is usually due to straining at defaecation against a closed levator‐ani … anal‐sphincter mechanism, producing prolapse of the rectum rather than incontinence of faeces. Such straining may be obsessive on the part of patients with psychosocial problems and reduced awareness that the rectum is empty; or it may be due to attempted defaecation with a full rectum in patients with reduced rectal sensation, failure of the afferent arc of the ano‐rectal reflex and consequent absence of levator‐ani … anal

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06643.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

In a series of 97 patients with rectal prolapse 36 were unaware that the prolapse was occurring. Failure to recognize the prolapse may cause delay in diagnosis and inappropriate treatment. In most instances the prolapse was considered to be primary and responded well to surgical repair; however, in a few patients the prolapse seemed to follow prolonged straining, and in these surgical repair is not so successful.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06644.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

A review some twenty years ago of the then popular rectosigmiodectomy for complete rectal prolapse having shown an excessive recurrence rate and a high incidence of incontinence, it was felt essential to seek for a more satisfactory and reliable surgical procedure for its management. This was achieved in the form of an operation, carried out from above and below, approximating the levator ani anterior to the rectum. This has given very much more satisfactory results, and is described in detail in this paper.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06645.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Sixty‐four cases of complete rectal prolapse have been treated by the Teflon sling operation since 1969. One case has recurred. No sepsis has occurred. Approximately 80% of patients followed are totally continent. This relatively simple operation seems to be the procedure of choice in this diseas

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06646.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Fistulas following irradiation treatment of uterine cancer present special problems. They are seldom isolated injuries. Because of the depressed response of connective tissue, direct repair can seldom be carried out. For rectovaginal fistulas a defunctioning colostomy is the usual first stage, and this may in time result in spontaneous closure. Repair can only be achieved by carefully planned operations where non‐irradiated tissue is used to close the defec

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06647.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The consequences of cervical rib do not appear to be widely understood. Whilst most cervical ribs cause little or no trouble, and, at the most, require shoulder raising exercises, some are the cause of serious nerve compression and sometimes arterial compression. Much confusion has existed in the understanding of the vascular manifestations of cervical rib, and this confusion has often led to incorrect treatment with serious consequences, in this regard it is particularly important for the surgeon to deal with the diseased artery at the same time as the cervical rib is excised. Nine cases of cervical rib with arterial compression are reported. The importance of recognition of arterial compression, before surgery is undertaken, is stressed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06648.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Reinforced expanded polytetrafluoroethylene (PTFE) was used as a femoropopliteal bypass graft in 31 patients (37 operations). The indications were intermittent claudication (13 operations), severe ischaemia with rest pain or gangrene (20 operations), and prophylactic treatment of popliteal aneurysms (4 operations), the one‐year accumulative patency rates were 75% for patients with intermittent claudication and 20% for patients with severe ischaemia. In three patients with claudication, graft thrombosis led to amputation in spite of attempted graft thrombectomy. These results compare unfavourably with our experience using autogenous vein, in which the one‐year accumulative patency rates were 80% for claudication and 70% for severe ischaemia, and in which failure of the bypass graft for claudication rarely made the patient wo

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06649.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Traumatic rupture of the aorta following vehicular colllsions is a more frequent occurrence than is generally realized by the members of the medical staff in hospital casualty departments. In the past there has been a tendency to concentrate efforts on other Injuries, especially those relating to the head. With the recognition that 12.7% of all fatal road crash victims have a rupture of the aorta, special attention can be directed to Its early diagnosis. Despite the grave prognosis of this condition, initial rupture may be incomplete, and if emergency surgery is undertaken, the defect may be repaired before it extends and death occurs.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1980.tb06650.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY