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.
A.M.A. Archives Surgery – American Medical Association
Published: Apr 1, 1956
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera