ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

摘要:

SummaryAdvanced carcinoma of the sigmoid flexure and rectum will continue to present multiple problems until the diagnosis is made at an earlier stage of the disease. Delay in the diagnosis is a serious problem and merits a major crusade on the part of all who are interested in carcinoma of the colon and rectum.Preoperative knowledge, or suspicion that a carcinoma of the sigmoid flexure or rectum has extended to adjacent structures, provides an opportunity to prepare the patient adequately and to plan the operative procedure. The more that is known preoperatively about a patient's physical and mental condition, the better is the opportunity to decide just what is the best procedure when advanced carcinoma is found. In spite of careful preoperative investigation, the surgeon occasionally will be surprised to discover unsuspected advanced disease at operation. On the other hand, what appears at first to be a non‐resectable advanced carcinoma of the rectum or sigmoid flexure may still be curative. A concerted effort,consistent with sound surgical judgment, should be made to remove the involved organs. The end results in a given case will depend upon many factors, which often will be surprising and gratifying. “Preventive colostomies” are unnecessary and should be avoided.A few technical procedures have been discussed, including intralymphatic injection of radioactive gold and 5‐fluorouracil, preoperative radiation, intra‐abdominal ureteral catheterization, ligation of internal iliac arteries and the primary blood supply to the pelvis, concomitant hysterectomy, oophorectomy, cystectomy, prostatectomy, vaginectomy and reconstruction of the vagina.

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

摘要:

ConclusionA review of results of the treatment of complete rectal prolapse in the years 1940 to 1962 at the University of Iowa Hospitals has been presented. The largest series in current medical literature has also been reviewed. The one common feature of procedures which are followed by a low incidence of recurrence is complete mobilization of the rectum together with a method of maintaining the rectum in its corrected position until fixation through scarring occurs.

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

摘要:

Summary and ConclusionsA report of the records of 20 patients with chronic ulcerative colitis in which ileorectal anastomosis was performed during the past 24 years has been presented. There were two deaths. Problems associated with this type of surgery are presented.In the final analysis, the decision to perform an ileorectal anastomosis will depend upon the patients' desires and the attitude of the physician. Should an ileorectal anastomosis fail and complicated disease persist, it is still possible to perform a rectal excision and permanent ileostomy.

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID

摘要:

Summary and ConclusionsMany persons over 50 years of age experience difficulty in satisfactorily emptying the urinary bladder. When this condition is prolonged, it causes symptoms, owing to interdependence of the rectal outlet and the terminal portion of the urinary tract. The anatomic and physiologic variations in these patients is described to explain the reason for the dysfunction. Corrective measures are suggested.

ISSN:0012-3706    

出版商:OVID    

年代:1964

数据来源: OVID