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New method of abdominal cavity opening in surgery of rectum


, : New method of abdominal cavity opening in surgery of rectum. Polski Merkuriusz Lekarski 11(64): 334-339

The paper presents a new method of surgical access to the small pelvis in which laparotomy is performed by using the transverse incision through both inguinal canals and cutting off the public insertions of the straight muscles of the abdomen. The inguinal canals with the posterior wall were opened according to the Shouldice procedure, and they were closed suturing the public insertions of rectus abdominis, in 8 cases the inguinal canals were repaired by using the Halsted procedure with our modification [1] and in three case our own method was used [2]. From April 28, 1998 to September 06, 2000, 11 operations for rectal carcinoma were performed using this method. Simultaneously, in 5 patients inguinal hernias were repaired. In 6 cases of rectal carcinoma, the abdominoperineal resection of the rectum was performed using the Miles method (in one case accompanied by total hysterotomy, partial ileoectomy and appendectomy, "en bloc"). In 2 cases resection of the rectum using the Hartman method was done. In 2 case the anterior rectal resection by the Dixon method and in another one partial rectalctomy were performed. The abdominal wounds healed by first intension. Among complications showed: difficult healing of the perineal wound was observed in 1 patient, another one required reoperation due to obstruction, in 1 patient inguinal reherniation was found and in another one the hernia around the colostomy occurred. Surgical access suggested by us enables extensive removal of the tissues around the rectum, including adjacent organs (considering easy technical terms), the simultaneous supply of inguinal hernias, in the cases of abdominoperineal resection of the rectum the abdominal anus was created through the left straight muscle of the abdomen, leaving more than 4 cm between a colostomy and an abdominal wound. The low, transverse incision caused only slight surgical discomfort (and patients quickly resumed ambulation) and good cosmetic effect of scar.

US$29.90

PMID: 11770314


Other references

Almekinders, L.C.; Vellema, J.H.; Weinhold, P.S., 2002: Strain patterns in the patellar tendon and the implications for patellar tendinopathy. This study investigated the strain pattern in human patellar tendon in an area of the tendon where changes commonly associated with patellar tendinitis are found. Eight fresh frozen human knees were instrumented with strain gauges on both the ante...

Ryan, J.J.; Ahmed, A.; Kind, P.D.; Thompson, C.B.; Berning, A.K.; Sell, K.W., 1984: Recognition and response to alloantigens in vivo. I. Negative and positive selection of MLR reactivity in murine peripheral blood lymphocytes to major histocompatibility complex and Mls antigens. Specific mixed lymphocyte reaction (MLR) responsiveness to allogeneic major histocompatibility complex (MHC), or minor lymphocyte-stimulating (Mls) determinants, was depleted in the peripheral blood lymphocytes (PBL) obtained from mice 24 to 48 hr...

Barrett, A.D.; Dimmock, N.J., 1984: Properties of host and virus which influence defective interfering virus mediated-protection of mice against Semliki Forest virus lethal encephalitis. Brief report. Variation of the mouse strain, the amount of defective interfering (DI) virus and the amount of infectious Semliki Forest virus (SFV) are all factors which affect the efficiency with which DI SFV prevents the SFV-mediated lethal encephalitis.

Brynger H.; Brunner F.P.; Challah S.; Oules R.; Selwood N.H.; Wing A.J., 1985: Influence of pretransplant dialysis on survival of first cadaveric renal transplants. Transplantation Proceedings 17(6): 2798

Heninger, E.; Otto, E.; Imm, A.; Caridi, G.; Hildebrandt, F., 2001: Improved strategy for molecular genetic diagnostics in juvenile nephronophthisis. Juvenile or type 1 nephronophthisis (NPH1), an autosomal recessive cystic kidney disease, represents the most common genetic cause of end-stage renal disease in the first two decades of life. Because the disease is caused by large homozygous delet...

Maurer, H.J., 1981: Serial angiofluorography in the operation theater. Using a 33 cm or 36 cm image amplifier in conjunction with a 100 mm camera, fluoroangiography can be employed as a routine method in theatre too. Serial photography can also be taken in conjunction with an electronic programmes selector while savi...

Shinmoto, H.; Kimura, T.; Yamagishi, K.; Suzuki, M., 2002: Antimutagenicity of some cultured and wild vegetables of Tohoku region on Trp-P2 induced mutagenicity of Salmonella typhimurium TA98. Antimutagenicity of dimethylsulfoxide extracts from cultured and wild vegetables of Tohoku region on the Trp-P2 induced mutagenicity to Salmonella typhimurium TA98 was examined. Each preparation shows its characteristic antimutagenicity against th...

Boistel, R.; Aubin, T.; Cloetens, P.; Peyrin, Fçoise.; Scotti, T.; Herzog, P.; Gerlach, J.; Pollet, N.; Aubry, J-François., 2013: How minute sooglossid frogs hear without a middle ear. Acoustic communication is widespread in animals. According to the sensory drive hypothesis [Endler JA (1993) Philos Trans R Soc Lond B Biol Sci 340(1292):215-225], communication signals and perceptual systems have coevolved. A clear illustration o...

Mueller, A.; Antus, S.; Bittinger, M.; Dorsch, W.; Kaas, A.; Kreher, B.; Neszmelyi, A.; Stuppner, H.; Wagner, H., 1993: Chemistry and pharmacology of the antiasthmatic plants Galphimia glauca, Adhatoda vasica, and Picrorhiza kurrooa. Planta Medica 59(7 SUPPL ): A586-A587

Augustinaite, S.; Kuhn, B.; Helm, P.Johannes.; Heggelund, P., 2014: NMDA spike/plateau potentials in dendrites of thalamocortical neurons. Dendritic NMDA spike/plateau potentials, first discovered in cortical pyramidal neurons, provide supralinear integration of synaptic inputs on thin and distal dendrites, thereby increasing the impact of these inputs on the soma. The more specific...