ABSTRACT
The Authors study the statistics of the Verona Surgical Centre, concerning 5 cases of colovesical fistula. They support the two-time operation, that is, the colon resection with colo-colic anastomosis sheltered by a decompressive transversostomy and stitching of the vesical breach. They affirm the usefulness of the operation according to Hartmann in patients facing a greater operative risk.
Subject(s)
Colonic Diseases/surgery , Intestinal Fistula/surgery , Urinary Bladder Fistula/surgery , Colonic Diseases/diagnosis , Colonic Diseases/etiology , Diverticulum, Colon/complications , Humans , Intestinal Fistula/diagnosis , Intestinal Fistula/etiology , Methods , Urinary Bladder Fistula/diagnosis , Urinary Bladder Fistula/etiologyABSTRACT
The authors maintain the opportunity of a mechanical and chemotherapeutical preparation of colon for the surgical operation, and illustrate the methods thereof. They report their clinical experience about the preoperative and peroperative cleaning, and confirm the importance of decompressive transversostomy as a protection of colorectal anastomoses.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Colon/surgery , Diet , Premedication , Administration, Oral , Cathartics/administration & dosage , Humans , Mannitol/administration & dosage , Solutions , Surgical Wound Infection/prevention & control , Therapeutic IrrigationABSTRACT
The Authors face the problems involved in the colonic familial polyposis, with particular attention to the surgical treatment of subjects bearing neoplastic degeneration. They, moreover, report their clinical experience, and compare it with the experience of other centres.
Subject(s)
Colonic Polyps/genetics , Adult , Colectomy , Colonic Polyps/pathology , Colonic Polyps/surgery , Humans , Ileum/surgery , Male , Middle Aged , Pedigree , Rectum/surgeryABSTRACT
The Authors show a case of rectal ampulla carcinoid, and review the literature thereabout. They suggest the removal through sphincter according to Mason, which technique, in their opinion, can ensure a satisfying radicalness when the diameter of carcinoid is shorter than 2 cm.
Subject(s)
Carcinoid Tumor/surgery , Rectal Neoplasms/surgery , Carcinoid Tumor/pathology , Humans , Male , Middle Aged , Rectal Neoplasms/pathologyABSTRACT
The authors show their experience about the surgical treatment of colonic perforations in course of neoplastic disease. Their casuistry is compared with those of other centres.
Subject(s)
Colonic Neoplasms/complications , Intestinal Perforation/etiology , Cecal Diseases/etiology , Colonic Diseases/etiology , Colonic Neoplasms/surgery , Humans , Intestinal Perforation/surgery , Prognosis , Rectal Diseases/etiology , Sigmoid Diseases/etiologyABSTRACT
The authors report their experience in the surgical treatment of the cancer of splenic flexure. The neoplasiae arising in such place are usually diagnosed in a more advanced phase than in the other colon segments. This results in a survival at a shorter interval.
