RESUMO
In October, 1978, the Hemoccult II Test was introduced as a screening procedure by the Sydney Hospital Heath Information and Screening Service. In the first two years, 4498 people were screened and 150 positive results were obtained. These people were referred for further investigation, with 114 choosing to attend the Edward Wilson Colon and Rectum Unit outpatient clinic at Sydney Hospital. Forty-four patients were found to have 59 colorectal neoplasms of which 13 were carcinomas. This represents a cancer incidence of 0.29% and corroborates the results of similar studies conducted overseas.
Assuntos
Carcinoma/epidemiologia , Neoplasias do Colo/epidemiologia , Sangue Oculto , Neoplasias Retais/epidemiologia , Austrália , Humanos , Programas de Rastreamento , Encaminhamento e ConsultaRESUMO
Surgery is still the mainstay of treatment for large, prolapsing haemorrhoids. The teaching of Sir Alan Parks, and more recently the work of W.H.F. Thompson, have shown that degeneration of the supportive tissue of the anal canal and the subsequent sliding of the anal lining, was the greatest contributing factor in the development of haemorrhoids. The method of treatment described follows Sir Alan Park's principles of conservation of the anal canal mucosa and skin. This is then used to reline the anal canal after careful dissection and excision of the external and internal haemorrhoids. It therefore returns this prolapsed, sensitive epithelium to its original site. Wound healing is rapid and anal stenosis is avoided.
