The surgeon who desires an atlas of techniques covering operations on the colon and rectum almost surely prefers a concise volume rather than an encyclopedic compilation of the innumerable procedures that have been described in the literature. This book includes the operations that have proved to be useful and have survived the test of time. They now are in general use in the Massachusetts General Hospital. Space limitations have necessitated exclusion of detailed illustrations of a number of infrequently performed procedures, such as pelvic exenter ation for cancer of the rectum. In such…mehr
The surgeon who desires an atlas of techniques covering operations on the colon and rectum almost surely prefers a concise volume rather than an encyclopedic compilation of the innumerable procedures that have been described in the literature. This book includes the operations that have proved to be useful and have survived the test of time. They now are in general use in the Massachusetts General Hospital. Space limitations have necessitated exclusion of detailed illustrations of a number of infrequently performed procedures, such as pelvic exenter ation for cancer of the rectum. In such instances bibliographic references have been provided for ready reference. The bibliography emphasizes recent contributions because they are easily available to the reader. Critical comments by the authors concerning certain technical pro cedures may be due to personal bias and certainly do not imply that the alternative methods are undesirable. Furthermore, the brevity of discus sion of anatomy, physiology, and pathology and the neglect of details of medical therapy of numerous colorectal diseases must be attributed to the fact that this volume is directed primarily toward the practicing surgeon. Thanks are due to the artists Mrs. Edith Tagrin and Mr. Robert Galla, and to Miss Evelyn Hall for help in the preparation of the manuscript. Claude E. Welch, M.D. Leslie W. Ottinger, M.D. John P. Welch, M.D. .Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
1 Introduction.- References.- 2 Anatomy and Physiology of the Colon and Rectum.- Anatomy of the Colon and Rectum.- Physiology of the Colorectum.- Extent of Resection for Cancer.- References.- 3 General Principles of Surgery of the Colorectum.- Symptoms and Diagnosis of Colonic Disease.- Endoscopy Techniques.- Preoperative Preparation and Anesthesia.- Antibiotic Therapy.- Anastomotic Techniques.- Incisions and Suture Material.- References.- 4 Congenital Lesions.- Errors of Rotation.- Paraduodenal Hernias.- Hirschsprung's Disease.- References.- 5 Polypoid Lesions of the Colon.- Colotomy and Polypectomy.- Primary Resection and Anastomosis of the Colon or Rectum.- Subtotal Colectomy.- Surgery for Familial Polyposis.- Endoscopic Removal of Colorectal Polyps.- References.- 6 Cancer of the Colon.- Right Colectomy.- Transverse Colectomy.- Left Colectomy.- Sigmoid Colectomy.- Subtotal Colectomy.- No-Touch Technique.- Mikulicz Procedure.- Hartmann Procedure.- Palliative Operations.- Classification and Prognosis of Carcinomas of the Colorectum.- References.- 7 Polypoid Lesions of the Rectum.- Excision Through the Dilated Anal Canal.- Excision Through Divided Anal Sphincters.- Posterior Proctotomy.- Excision Through the Sigmoidoscope with the Snare.- Other Procedures.- References.- 8 Cancer of the Rectum and Anus.- Combined Abdominoperineal Resection.- Perianal Cancers.- Pelvic Exenteration.- Local Excision.- Palliative Operations.- References.- 9 Sphincter-Saving Operations.- Pull-Through Operations with Sacrifice of the Sphincter Mechanism.- Low Anterior Resection.- D'Allaines Procedure.- Soave Procedure.- Other Endorectal Resections.- Postoperative Care.- Anastomosis with the Stapler.- References.- 10 Diverticular Disease.- Operative Procedures.- Giant Cysts of the Sigmoid.-Diverticular Disease of the Right Colon.- Postoperative Complications and Mortality.- References.- 11 Ulcerative Colitis and Crohn's Disease.- Ulcerative Colitis.- Crohn's Disease.- Operative Procedures.- References.- 12 Volvulus.- Cecum.- Sigmoid.- Transverse Colon.- References.- 13 Intussusception of the Colon.- References.- 14 Wounds of the Colon and Rectum.- References.- 15 Surgery for Obstruction.- Cecostomy.- Transverse Colostomy.- Closure of Persistent Stomas.- One-Stage Operations for Colonic Obstruction.- Other Manifestations of Obstruction.- References.- 16 Surgery for Perforations.- Unusual Perforations of the Colon.- Diastatic Perforations of the Cecum.- Acute Perforation Secondary to Diverticulitis.- Acute Perforation Secondary to Cancer of the Colon.- References.- 17 Surgery for Fistulas.- Internal Fistulas.- External Fistulas.- Fistulas Arising from Diverticulitis.- Low Rectovaginal Fistulas.- References.- 18 Prolapse of the Rectum.- Perineal Operations.- Transabdominal Operations.- Combined Abdominoperineal Operations.- Complications.- References.- 19 Vascular Lesions.- Lesions Associated with Arterial Occlusion.- Lesions Not Associated with Arterial Occlusion.- References.- 20 Hemorrhage from the Colon and Rectum.- References.- 21 Hemorrhoids.- Hemorrhoidectomy.- Thrombosed Hemorrhoids.- Other Methods of Treatment.- Descending Perineum Syndrome.- References.- 22 Other Anorectal Diseases.- Fissure-in-Ano.- Perianal Infections and Fistulas.- Condylomata.- Cryptitis and Papillitis.- Anal Stenosis (Pectenosis) and Rectal Stricture.- Fecal Incontinence.- Pruritus Ani.- Paget's Disease of the Perianal Skin.- References.- 23 Other Colorectal Diseases.- Operations Related to Cancer.- Other Tumors of the Colorectum.- Retrorectal Tumors.- HerniasContaining Colon.- Constipation.- Infectious Diseases of the Colon.- Pneumatosis.- Foreign Bodies.- Endometriosis of the Colon.- Colitis Cystica Profunda.- Pregnancy.- Radiation Injury.- Malakoplakia of the Colon and Rectum.- Diseases of the Appendices Epiploicae.- Intraoperative Radiation Therapy for Cancer.- References.- 24 Complications of Colorectal Surgery.- Early Complications.- Late Complications.- References.- 25 Pilonidal Sinus.- Operative Procedures.- Complicated Fistulas.- References.- 26 Surgery of the Appendix.- Appendectomy for Acute Appendicitis.- Incidental Appendectomy.- Appendicitis with Complications.- Complications of Appendectomy.- Other Diseases of the Appendix.- References.
1 Introduction.- References.- 2 Anatomy and Physiology of the Colon and Rectum.- Anatomy of the Colon and Rectum.- Physiology of the Colorectum.- Extent of Resection for Cancer.- References.- 3 General Principles of Surgery of the Colorectum.- Symptoms and Diagnosis of Colonic Disease.- Endoscopy Techniques.- Preoperative Preparation and Anesthesia.- Antibiotic Therapy.- Anastomotic Techniques.- Incisions and Suture Material.- References.- 4 Congenital Lesions.- Errors of Rotation.- Paraduodenal Hernias.- Hirschsprung's Disease.- References.- 5 Polypoid Lesions of the Colon.- Colotomy and Polypectomy.- Primary Resection and Anastomosis of the Colon or Rectum.- Subtotal Colectomy.- Surgery for Familial Polyposis.- Endoscopic Removal of Colorectal Polyps.- References.- 6 Cancer of the Colon.- Right Colectomy.- Transverse Colectomy.- Left Colectomy.- Sigmoid Colectomy.- Subtotal Colectomy.- No-Touch Technique.- Mikulicz Procedure.- Hartmann Procedure.- Palliative Operations.- Classification and Prognosis of Carcinomas of the Colorectum.- References.- 7 Polypoid Lesions of the Rectum.- Excision Through the Dilated Anal Canal.- Excision Through Divided Anal Sphincters.- Posterior Proctotomy.- Excision Through the Sigmoidoscope with the Snare.- Other Procedures.- References.- 8 Cancer of the Rectum and Anus.- Combined Abdominoperineal Resection.- Perianal Cancers.- Pelvic Exenteration.- Local Excision.- Palliative Operations.- References.- 9 Sphincter-Saving Operations.- Pull-Through Operations with Sacrifice of the Sphincter Mechanism.- Low Anterior Resection.- D'Allaines Procedure.- Soave Procedure.- Other Endorectal Resections.- Postoperative Care.- Anastomosis with the Stapler.- References.- 10 Diverticular Disease.- Operative Procedures.- Giant Cysts of the Sigmoid.-Diverticular Disease of the Right Colon.- Postoperative Complications and Mortality.- References.- 11 Ulcerative Colitis and Crohn's Disease.- Ulcerative Colitis.- Crohn's Disease.- Operative Procedures.- References.- 12 Volvulus.- Cecum.- Sigmoid.- Transverse Colon.- References.- 13 Intussusception of the Colon.- References.- 14 Wounds of the Colon and Rectum.- References.- 15 Surgery for Obstruction.- Cecostomy.- Transverse Colostomy.- Closure of Persistent Stomas.- One-Stage Operations for Colonic Obstruction.- Other Manifestations of Obstruction.- References.- 16 Surgery for Perforations.- Unusual Perforations of the Colon.- Diastatic Perforations of the Cecum.- Acute Perforation Secondary to Diverticulitis.- Acute Perforation Secondary to Cancer of the Colon.- References.- 17 Surgery for Fistulas.- Internal Fistulas.- External Fistulas.- Fistulas Arising from Diverticulitis.- Low Rectovaginal Fistulas.- References.- 18 Prolapse of the Rectum.- Perineal Operations.- Transabdominal Operations.- Combined Abdominoperineal Operations.- Complications.- References.- 19 Vascular Lesions.- Lesions Associated with Arterial Occlusion.- Lesions Not Associated with Arterial Occlusion.- References.- 20 Hemorrhage from the Colon and Rectum.- References.- 21 Hemorrhoids.- Hemorrhoidectomy.- Thrombosed Hemorrhoids.- Other Methods of Treatment.- Descending Perineum Syndrome.- References.- 22 Other Anorectal Diseases.- Fissure-in-Ano.- Perianal Infections and Fistulas.- Condylomata.- Cryptitis and Papillitis.- Anal Stenosis (Pectenosis) and Rectal Stricture.- Fecal Incontinence.- Pruritus Ani.- Paget's Disease of the Perianal Skin.- References.- 23 Other Colorectal Diseases.- Operations Related to Cancer.- Other Tumors of the Colorectum.- Retrorectal Tumors.- HerniasContaining Colon.- Constipation.- Infectious Diseases of the Colon.- Pneumatosis.- Foreign Bodies.- Endometriosis of the Colon.- Colitis Cystica Profunda.- Pregnancy.- Radiation Injury.- Malakoplakia of the Colon and Rectum.- Diseases of the Appendices Epiploicae.- Intraoperative Radiation Therapy for Cancer.- References.- 24 Complications of Colorectal Surgery.- Early Complications.- Late Complications.- References.- 25 Pilonidal Sinus.- Operative Procedures.- Complicated Fistulas.- References.- 26 Surgery of the Appendix.- Appendectomy for Acute Appendicitis.- Incidental Appendectomy.- Appendicitis with Complications.- Complications of Appendectomy.- Other Diseases of the Appendix.- References.
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