"Hedrology" - a term coined by G. B. E. SIMONETTI (Milan) - is the oldest of all surgical specialities. It was re-introduced as Proctology by European surgeons at the turn of the century. Excellent work was performed by the surgeons LIS FRANK, DIEFFENBACH, VELPEAU, VOLKMANN, KRASKE, VON REINEKE, QUENU, REHN and GOETZE. Today this specialty includes the research, recognition and treatment of disorders of the entire colon, rectum and anus. Ever since the days of W. VON REINEKE (1868-1901), this specialty has been cultivated with special care at the Chirurgische Universitatsklinik Erlangen;…mehr
"Hedrology" - a term coined by G. B. E. SIMONETTI (Milan) - is the oldest of all surgical specialities. It was re-introduced as Proctology by European surgeons at the turn of the century. Excellent work was performed by the surgeons LIS FRANK, DIEFFENBACH, VELPEAU, VOLKMANN, KRASKE, VON REINEKE, QUENU, REHN and GOETZE. Today this specialty includes the research, recognition and treatment of disorders of the entire colon, rectum and anus. Ever since the days of W. VON REINEKE (1868-1901), this specialty has been cultivated with special care at the Chirurgische Universitatsklinik Erlangen; scientific investigation has progressed and the operative technique has been improved. Experts from 22 countries met here at the Third International Congress in order to exchange experience and to learn from the successes and failures of their col leagues. These opinions and this knowledge have been summarized in the congress report. Thus it presents a survey of today's problems in proctology. G.REGEMANN President of the rd 3 International Congress Contents The Future of Proctology, J. F. MONTAGUE . 1 I. Injuries of the Colon and Rectum Injuries of the Colon and Rectum, J. HOFERICHTER ...
The Future of Proctology.- I. Injuries of the Colon and Rectum.- Injuries of the Colon and Rectum.- Complications of Proctoscopy and Irrigoscopy.- Barium Peritonitis.- II. Anal Fistulas.- A Pictorial History of Surgical Treatment of "Fistula-in-Ano".- Fistula-in-Ano.- The Classification of Fistula-in-Ano.- The Prevention of Anal Fistulas by the Correct Treatment of Anal Abscesses and Phlegmons.- Chronic Abscesses of the Ano-Rectum.- Systematic Anal Sphincter Resection and Immediate Myorrhaphy in High Anal Fistula Exeresis - Technique and Results.- Gross Rectal Involvement in Crohn's Disease.- Anal Fistulas in Regional Enteritis.- Anal Fistula in the Adult and Child.- III. Chronic Obstipation.- Surgical Treatment of Chronic Obstipation.- Current Problems in Constipation.- Psychosomatic Aspects in Chronic Constipation.- Sigmoid Fixation Syndrome.- The Pathology of Megacolon.- Surgery of Megacolon.- The Surgical Treatment of Megacolon.- IV. Incontinentia Alvi.- Problems of Continence in Atresia Ani and Congenital Megacolon.- Electrical Treatment of Anal Incontinence and Rectal Prolapse Using an External Stimulator with Intra Anal Electrodes.- Surgical Tactics in the Treatment of Rectal Sphincter Insufficiency.- Myokinetic Sphincterplasty with Incontinentia Alvi After Anal and Rectal Atresia.- V. Colon Polyps and Cancer Relationship.- Colonic Polyps and Carcinoma Risk.- Incidence of Polyps and Carcinomas in the Colon and Rectum in Current Autopsy Material.- Statistical Analysis of Polyps of the Colon and Rectum in Japan with Consideration of their Malignant Degeneration.- Adenomatous Polyps of the Rectum and Recto-Sigmoid - Benign and Malignant - Surgical Management.- Problems in the Histological Diagnosis of Polyps of the Colon.- Classification and Therapy of Colon Polyps.- Hypersecretory Villous Tumor of the Colon.- Malignant Transformation of Diffuse Polyposis of the Colon.- Familiar Polyposis Coli.- VI. Cancer.- Social Acceptability of the Colostomy - the Surgeon's Task and Duty.- A Plea for Primary Hemicolectomy in Perforated Cancer of the Right Colon.- Carcinoid Tumours.- Situation of Endorectal Irradiation in the Curative Treatment of Rectum Cancer at the Outset.- Some Consideration on the Operative Treatment of Cancer of the Rectum.- VII. Colitis, Diverticulitis, Proctitis.- The Surgical Treatment of Ulcerative Colitis.- One-Stage Proctocolectomy with Anal Ileostomy.- Surgical Treatment of Nonspecific Ulcerative Colitis.- Primary Syphilis of the Anorectal Region.- A Case of Pseudo-Cancerous Endometriosis of the Rectal-Vaginal Wall -Radiography and Therapy.- Colon Biopsy in Undiagnosed Chronic Amoebiasis.- Ulcerative or Amoebic Colitis?.- Diverticulitis, Diverticulosis Coli.- Diverticular Disease of the Colon in Greece.- VIII. Diagnostic Procedures.- The Present State of Radiodiagnostics of the Colon and Rectum.- Scintigraphy in the Preoperative Diagnosis of Rectal Carcinoma.- Scintigraphy of the Colon.- Angiographic and Microangiographic Patterns of Colonic Lesions.- Color Photography of the Colon with a Gastrocamera.- A Study of the Resorption of 131INa from the Normal and Pathological Rectum.- Proctosigmoidoscopy in Colon Diseases.- IX. Proctology.- Proctological Consultation.- Clinical Manifestations of Anorectal Disease.- Rectal Anatomy with Clinical Significance.- Non-Radical vs. Radical Anorectal Surgery.- Surgical Management of Strangulated, Thrombosed Hemorrhoids as an Emergency Procedure.- Cataclysmic Rectorrhagia of Unusual Cause: the Myeloma.- A Method for the Adequate Preparation of Rectoscopic Examinations.
The Future of Proctology.- I. Injuries of the Colon and Rectum.- Injuries of the Colon and Rectum.- Complications of Proctoscopy and Irrigoscopy.- Barium Peritonitis.- II. Anal Fistulas.- A Pictorial History of Surgical Treatment of "Fistula-in-Ano".- Fistula-in-Ano.- The Classification of Fistula-in-Ano.- The Prevention of Anal Fistulas by the Correct Treatment of Anal Abscesses and Phlegmons.- Chronic Abscesses of the Ano-Rectum.- Systematic Anal Sphincter Resection and Immediate Myorrhaphy in High Anal Fistula Exeresis - Technique and Results.- Gross Rectal Involvement in Crohn's Disease.- Anal Fistulas in Regional Enteritis.- Anal Fistula in the Adult and Child.- III. Chronic Obstipation.- Surgical Treatment of Chronic Obstipation.- Current Problems in Constipation.- Psychosomatic Aspects in Chronic Constipation.- Sigmoid Fixation Syndrome.- The Pathology of Megacolon.- Surgery of Megacolon.- The Surgical Treatment of Megacolon.- IV. Incontinentia Alvi.- Problems of Continence in Atresia Ani and Congenital Megacolon.- Electrical Treatment of Anal Incontinence and Rectal Prolapse Using an External Stimulator with Intra Anal Electrodes.- Surgical Tactics in the Treatment of Rectal Sphincter Insufficiency.- Myokinetic Sphincterplasty with Incontinentia Alvi After Anal and Rectal Atresia.- V. Colon Polyps and Cancer Relationship.- Colonic Polyps and Carcinoma Risk.- Incidence of Polyps and Carcinomas in the Colon and Rectum in Current Autopsy Material.- Statistical Analysis of Polyps of the Colon and Rectum in Japan with Consideration of their Malignant Degeneration.- Adenomatous Polyps of the Rectum and Recto-Sigmoid - Benign and Malignant - Surgical Management.- Problems in the Histological Diagnosis of Polyps of the Colon.- Classification and Therapy of Colon Polyps.- Hypersecretory Villous Tumor of the Colon.- Malignant Transformation of Diffuse Polyposis of the Colon.- Familiar Polyposis Coli.- VI. Cancer.- Social Acceptability of the Colostomy - the Surgeon's Task and Duty.- A Plea for Primary Hemicolectomy in Perforated Cancer of the Right Colon.- Carcinoid Tumours.- Situation of Endorectal Irradiation in the Curative Treatment of Rectum Cancer at the Outset.- Some Consideration on the Operative Treatment of Cancer of the Rectum.- VII. Colitis, Diverticulitis, Proctitis.- The Surgical Treatment of Ulcerative Colitis.- One-Stage Proctocolectomy with Anal Ileostomy.- Surgical Treatment of Nonspecific Ulcerative Colitis.- Primary Syphilis of the Anorectal Region.- A Case of Pseudo-Cancerous Endometriosis of the Rectal-Vaginal Wall -Radiography and Therapy.- Colon Biopsy in Undiagnosed Chronic Amoebiasis.- Ulcerative or Amoebic Colitis?.- Diverticulitis, Diverticulosis Coli.- Diverticular Disease of the Colon in Greece.- VIII. Diagnostic Procedures.- The Present State of Radiodiagnostics of the Colon and Rectum.- Scintigraphy in the Preoperative Diagnosis of Rectal Carcinoma.- Scintigraphy of the Colon.- Angiographic and Microangiographic Patterns of Colonic Lesions.- Color Photography of the Colon with a Gastrocamera.- A Study of the Resorption of 131INa from the Normal and Pathological Rectum.- Proctosigmoidoscopy in Colon Diseases.- IX. Proctology.- Proctological Consultation.- Clinical Manifestations of Anorectal Disease.- Rectal Anatomy with Clinical Significance.- Non-Radical vs. Radical Anorectal Surgery.- Surgical Management of Strangulated, Thrombosed Hemorrhoids as an Emergency Procedure.- Cataclysmic Rectorrhagia of Unusual Cause: the Myeloma.- A Method for the Adequate Preparation of Rectoscopic Examinations.
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