By J. F. Montague (auth.), Dr. J. Hoferichter (eds.)
ISBN-10: 3642879594
ISBN-13: 9783642879593
ISBN-10: 3642879616
ISBN-13: 9783642879616
"Hedrology" - a time period coined through G. B. E. SIMONETTI (Milan) - is the oldest of all surgical specialities. It used to be re-introduced as Proctology by way of ecu surgeons on the flip of the century. first-class paintings was once played by means of the surgeons LIS FRANK, DIEFFENBACH, VELPEAU, VOLKMANN, KRASKE, VON REINEKE, QUENU, REHN and GOETZE. this present day this uniqueness comprises the study, acceptance and remedy of problems of the total colon, rectum and anus. Ever because the days of W. VON REINEKE (1868-1901), this area of expertise has been cultivated with certain care on the Chirurgische Universitatsklinik Erlangen; medical research has improved and the operative method has been stronger. specialists from 22 international locations met right here on the 3rd overseas Congress so that it will trade event and to benefit from the successes and screw ups in their col leagues. those evaluations and this information were summarized within the congress document. hence it offers a survey of contemporary difficulties in proctology. G. REGEMANN President of the rd three overseas Congress Contents the way forward for Proctology, J. F. MONTAGUE . 1 I. accidents of the Colon and Rectum accidents of the Colon and Rectum, J. HOFERICHTER ...
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Additional info for Progress in Proctology: Proceedings of the 3rd International Congress of Hedrologicum Conlegium October 1968, Erlangen-Nuremberg, Germany
Sample text
During these episodes the patient was given different kinds of antibiotics. Then he remained in excellent health for eleven years. Now he started complaining of a dull but irksome perineal pain unrelated to defecation or sitting down. No abnormality was detected on proctoscopy and sigmoidoscopy, but an irregular submucous induration was palpa ble just above the ano-rectal ring on the right side. The trans-rectal palpation of this induration aggravated the patient's discomfort. Chronic Abscesses of the Ano-Rectum 41 We operated this patient by exposing his right ischio-rectal space widely, but we had to go even further above the levator ani in order to dissect out the entire indurated area sharply and blindly guided by a finger in the rectum.
GEORGIADIS and B. LEOUTSAKOS: Two of our patients were females, 29 and 30 years of age, and one was a 44-year-old male. The common feature in both female cases was the lack of any history of infection, localized or diffuse, of the perineum or the pelvis. Nor did either of them mention any infectious disease in the past which could have given rise to a bloodbone invasion of the cellular tissues. The presenting sign in our two cases was a palpable, painless lump, four centimeters in diameter, which occupied the left para-anal space.
The amount of variation was very wide. The lowest perforation pressure was 50 mmHg. According to LORING the lowest perforation pressure is 21 mmHg. The data reported by DECARLO which coincides with that of BURT indicates that the converted critical pressure at the tip of the rectal tube is 246-285 g/cm2 • A pressure of 100 g/cm2 at the tip of the intestinal tube is attained when 300 g of barium are suspended in 1 liter of water and the irrigation is carried out from a height of about 1 meter. Under these conditions perforation is avoidable.
Progress in Proctology: Proceedings of the 3rd International Congress of Hedrologicum Conlegium October 1968, Erlangen-Nuremberg, Germany by J. F. Montague (auth.), Dr. J. Hoferichter (eds.)
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