摘要:

&NA;In this pilot study of 21 patients with rectal cancer, we found that the “selective sandwich technique” balances the risks and benefits of aggressive therapy for the treatment of rectal cancer without undue complications, and that it has considerable potential for improving the survival rate of patients with this disease.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;Review of our experience with pneumatosis intestinalis has allowed identification of three major clinical groups of patients. In each of these groups, the etiology of pneumatosis intestinalis usually can be identified, and it frequently has an ominous prognosis. Treatment should be directed to the underlying condition when possible, and hence must be individualized. Those patients who would be categorized as Group I can simply be kept under observation. Patients in Group II might obtain relief from breathing increased concentrations of oxygen. For patients in Group III vigorous therapeutic measures generally are necessary to ensure survival. The increasing use of mechanically controlled ventilation and positive end‐expiratory pressure may be contributing to the incidence of pneumatosis intestinalis. The ileus sometimes observed in these patients may accompany or precede the development of intramural air, a condition identifiable on roentgenographic examination. Awareness of the possible presence of intramural air may help in identifying patients who may not need operation. But even when roentgenographic examination has confirmed the presence of intramural air, abdominal exploration still may be necessary to rule out a diagnosis of perforated viscus. We hope that these concepts and our emphasis upon individualization of treatment may improve the prognoment patients who have pneumatosis intestinalis.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;Twenty‐six patients were treated for hemorrhoids by a combination of cryodestruction and closed operative hemorrhoidectomy. Patients were able to draw their own conclusions about the efficacies of these treatment. They had no difficulty in distinguishing exactly which area was causing pain. The operative site was a source of greater pain until the second day after the procedure, when the pain resulting from cryodestruction equalled surgical pain; then cryodestruction associated pain continued longer. Cryodestruction was associated with production of a foul discharge. Residual hemorrhoids were present in 50 per cent of patients' cryodestruction sites. Given the choice at the one year follow‐up examination, 65 per cent preferred surgical treatment and 35 per cent preferred cryodestruction.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;A comparative study of two methods of managing left colostomy (irrigation and natural evacuation) was carried out on 340 patients who were examined and interviewed at the Stoma Rehabilitation Clinic of the Institute of Surgical Pathology of the University of Padua.Ninety‐two per cent of patients who irrigated their colostomies gained fecal continence. No patient who irrigated his colostomy had any cutaneous problem, and this group had significantly better results in preventing leakage of gas and odors compared with those patients using natural evacuation. For most patients who irrigated, the ability to predict or control bowel movements overcame fears of “being dirty” and related psychological problems. These patients also had more normal social and working lives than did those patients not irrigating their colostomies.Only one patient in our series had a colonic perforation, and any chance of a repeat incident will probably disappear with the cone‐shaped catheters now available.The authors conclude that in properly selected patients, irrigation is the method of choice for management of left colostomy.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;A retrospective study of 302 patients who underwent surgical treatment for colorectal carcinoma from 1952 to 1971 is presented. Resectability rate was 93.7 per cent. Operative mortality rate was 5 per cent. Complications were recorded in 12 per cent of cases. Recurrence at the anastomotic line occurred in 3.31 per cent.The actuarial five‐year survival rate was 44.2 per cent for all types of cancer. The “no‐touch” technique utilized after 1968 resulted in increased survival of patients who had Dukes' B and C cancers.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

&NA;During hemorrhoidectomy, a standard 16‐gauge plastic catheter was sutured to the operative site so that analgesic doses of viscous lidocaine solution could be delivered to the site for the first 36 hours postoperatively. Although 14 patients had urinary retention that necessitated catheterization, no complication was attributed to the analgesic method. Of 227 patients, 92 per cent were treated with this method plus orally administered nonnarcotic analgesics. Viscous lidocaine injected into the anus is concluded to provide safe, convenient analgesia following hemor‐rhoidectomy. Toxic reactions to lidocaine were not a problem because the doses were small, and the drug was used only intermittently over a period of 36 hours.

ISSN:0012-3706    

出版商:OVID    

年代:1979

数据来源: OVID