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Operation The Perineoabdominal Operation for Cancer of the Rectum turn

Operation The Perineoabdominal Operation for Cancer of the Rectum turn Abstract The combined abdominoperineal operation of Miles concededly embodies the best surgical principles known today for the eradication of cancer of the rectum. However, its many disadvantages, such as frequent difficulties in technique, hemorrhage, prolonged operative time, etc., leave much to be desired when one compares it with the more perfected state of many other operations. The second or perineal stage can usually be accomplished quickly and with little difficulty, since the terminal rectum is superficial in the perineum. However, in the abdominal stage the surgeon may be confronted with serious problems when attempting to remove the upper rectum, since not only is this portion of the gastrointestinal tract inaccessible normally but the presence of adherent inflammatory tumors only adds to the problems. PURPOSE The purpose of this report is to present the advantages of first performing the perineal stage of the combined operation of Miles, thus reversing the order of References 1. Ackerman, L. V., and Wheat, M. W., Jr.: The Implantation of Cancer—An Avoidable Risk? , Surgery 37:341, 1955. 2. Butler, C.: Some Observations on the Treatment of Carcinoma of the Rectum , Proc. Roy. Soc. Med. 45:41, 1952. 3. Devine, Sir H.: Surgery of the Alimentary Tract , Baltimore, Williams & Wilkins Company, 1940, p. 981. 4. Hughes, E. S. R.: Perineal Dissection in Excision of Carcinoma of Rectum , M. J. Australia 2:499, 1951. 5. Lloyd-Davies, O. V.: Lithotomy—Trendelenburg Position for Resection of Rectum and Lower Pelvic Colon , Lancet 2:74, 1939.Crossref 6. Miles, W. E.: Cancer of the Rectum , London, Harrison & Sons, Ltd., 1926, p. 12. 7. Neal, W. B., Jr.; Woodward, E. R.; Kark, A. E.; Harper, P. V., Jr., and Dragstedt, L. R.: Abdominoperineal Resection of the Rectum by the 2-Team Technic , Ann. Surg. 137:325, 1953.Crossref 8. Piersol, G. A.: Human Anatomy , Ed. 5, Philadelphia and London, J. B. Lippincott, 1916, pp. 803 and 1679. 9. Singleton, A. O.: One-Stage Perineoabdominal Operation for Cancer of the Rectum , Surgery 14:691, 1943. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Operation The Perineoabdominal Operation for Cancer of the Rectum turn

A.M.A. Archives Surgery , Volume 72 (4) – Apr 1, 1956

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1956.01270220139019
Publisher site
See Article on Publisher Site

Abstract

Abstract The combined abdominoperineal operation of Miles concededly embodies the best surgical principles known today for the eradication of cancer of the rectum. However, its many disadvantages, such as frequent difficulties in technique, hemorrhage, prolonged operative time, etc., leave much to be desired when one compares it with the more perfected state of many other operations. The second or perineal stage can usually be accomplished quickly and with little difficulty, since the terminal rectum is superficial in the perineum. However, in the abdominal stage the surgeon may be confronted with serious problems when attempting to remove the upper rectum, since not only is this portion of the gastrointestinal tract inaccessible normally but the presence of adherent inflammatory tumors only adds to the problems. PURPOSE The purpose of this report is to present the advantages of first performing the perineal stage of the combined operation of Miles, thus reversing the order of References 1. Ackerman, L. V., and Wheat, M. W., Jr.: The Implantation of Cancer—An Avoidable Risk? , Surgery 37:341, 1955. 2. Butler, C.: Some Observations on the Treatment of Carcinoma of the Rectum , Proc. Roy. Soc. Med. 45:41, 1952. 3. Devine, Sir H.: Surgery of the Alimentary Tract , Baltimore, Williams & Wilkins Company, 1940, p. 981. 4. Hughes, E. S. R.: Perineal Dissection in Excision of Carcinoma of Rectum , M. J. Australia 2:499, 1951. 5. Lloyd-Davies, O. V.: Lithotomy—Trendelenburg Position for Resection of Rectum and Lower Pelvic Colon , Lancet 2:74, 1939.Crossref 6. Miles, W. E.: Cancer of the Rectum , London, Harrison & Sons, Ltd., 1926, p. 12. 7. Neal, W. B., Jr.; Woodward, E. R.; Kark, A. E.; Harper, P. V., Jr., and Dragstedt, L. R.: Abdominoperineal Resection of the Rectum by the 2-Team Technic , Ann. Surg. 137:325, 1953.Crossref 8. Piersol, G. A.: Human Anatomy , Ed. 5, Philadelphia and London, J. B. Lippincott, 1916, pp. 803 and 1679. 9. Singleton, A. O.: One-Stage Perineoabdominal Operation for Cancer of the Rectum , Surgery 14:691, 1943.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Apr 1, 1956

References

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