摘要:

Summary and ConclusionsThe inverting, double‐layer anastomosis required more time than the single‐layer eversion. No significant difference in the degrees of inflammation after inversions and eversions was observed on microscopic examination. The degree of adhesion formation adjacent to the anastomoses was not appreciably different in the two types. Healing by restoration of mucosal continuity and fibroplasia appeared earlier in inversions than in eversions. Reduction of the lumen was greater by inversion, especially in the early postoperative period. Resistance to disruption by distention in inversions was greater than it was in eversions. However, after a lapse of nine days, eversions had adequate resistance to disruption. Local complications were less common after inversions than after eversions and the mortality rate after the former was appreciably lower than that after the latter.Adequate cleansing of the colon appeared to exert a favorable influence on inversion repair.Although the standard double‐layer inversion technic of colonic anastomosis caused more stenosis, it resisted disruption better, caused fewer local complications and had a lower mortality rate than the single‐layer eversion anastomosis.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryFrequently, intestinal fistulas present difficult diagnostic and surgical problems, yet they should not be considered insurmountable. In our experience, covering a series of 328 patients, the mortality rate was 3.9 per cent (Table 1). However, we must acknowledge that in many instances morbidity was protracted.

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:

SummaryAbout one of four patients could not be proctoscoped 20 cm or more. Psychologic factors, normal anatomic variations, or pathologic lesions prevented complete proctoscopy in 277 of 1,113 cases.Incomplete proctoscopy for other than organic reasons may be reduced by letting the patient know what to expect and by advising him that the examination can be stopped at any time that he requests.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryThe traditional method of treating acute diverticulitis by proximal colostomy is unsafe. This is revealed by published reports and supported by the results described in this paper.Fifteen unselected patients were treated by radical surgery. There were no deaths and few complications. Despite extensive mobilization of the colon and rectum, there was only one intraperitoneal abscess, which resolved spontaneously.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryA retrorectal epidermoid cyst in a 22‐year‐old woman is described. Usually such cysts appear as rectal masses or as causes of recurrent perianal abscess and sinus. The pathogenesis, diagnosis and management of retrorectal epidermoid cysts are discussed.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

Summary and ConclusionA case of actinomycosis of the transverse colon is presented. The preoperative diagnosis was malignancy of the stomach. The patient recovered completely after surgical removal of that portion of the bowel involved by the tumor.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryHerniation of small bowel through a posterior wound may be a late complication of an abdominoperineal resection of the rectum. Surgical correction of herniation of small bowel in an old posterior wound has been described.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryA case of villous adenoma complicated by severe fluid and electrolyte depletion has been reported. Some unique features of the villous adenoma and the treatment of the electrolyte depletion syndrome have been discussed. Several points should be stressed in relation to this syndrome: (1) Villous adenomas are easily missed on digital examination because of their soft consistency. (2) The electrolyte depletion syndrome, though uncommon, can be severe, and several deaths are reported in medical literature. They resulted from failure of early or adequate treatment. (3) Malignant change occurs frequently and necessitates wide removal.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID

摘要:

SummaryOf the 256 patients in this series who underwent anorectal surgery with the closed‐wound technic, 192 had hemorrhoids, 39 had fissures and 25 had simple rectoperineal fistulas. The average time required for healing was 16.29 days, 11.71 days less than the average of 28 days required for anorectal wounds to heal with open‐wound technics. Postoperative pain was less than that which occurs with open‐wound technics.Abscesses occurred in four cases, post‐operative fissures in nine, and in 50, skin redundancies (tags) developed at the level of the cutaneous portion of the suture line. Redundancies did not develop in patients in whom intradermic suturing was used.In patients in this series reduction of the period of convalescence has been significant enough to have social and economic importance.

ISSN:0012-3706    

出版商:OVID    

年代:1969

数据来源: OVID