This paper is only available as a PDF. To read, Please Download here.
Abstract
Guided by the idea that the restoration of continence is of prime importance, any
radical operation which does not arrange for this possibility, although it would not
imply loss of radicality, is regarded as imperfect. After referring to the methods
suggested for this purpose in the Anglo-American, the French, and the German literature,
the technique of the primary (Hochenegg) and the secondary (Weil) pull-through method
is described, the latter by “artificial production” of prolapse (Mandl) from the sacral
anus and operation on the sacral hernia. The pull-through procedure may be used equally
as well after dorsal (sacral) or combined (abdominosacral) radical operation. So far
the method devised by Hochenegg holds the greatest promise of success, regarding the
restoration of continence after operation on the rectosigmoid, provided the indication
is strictly adhered to. Nevertheless, it could be employed in only a certain number
of cases of carcinoma (31.4 per cent of all cases) and was, in 46.6 per cent, followed
by smooth healing by first intention. This percentage was further increased by adequate
treatment of complications and by secondary pull-through operation, to 75 per cent.
A complete list of case records for the past five years is added.
It is pointed out that colostomy should precede the pull-through operation. Technical
details are described. The method may be further developed.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Arch. Surg. 1943; 46: 253
- Anus-Rectum-Sigmoid-Colon, Diagnosis and Treatment.J. B. Lippincott Company, Philadelphia1943
- J. de chir. 1940; 56: 209
- J. de chir. 1934; 44: 1
- Beitr. z. klin. chir. 1930; 149: 525
- Surgery. 1942; 12: 310
- Am. J. Surg. 1939; 46: 12
- Surgery. 1944; 15: 367
- Arch. Surg. 1940; 43: 1076
- Zentralbl. f. Chir. 1935; 33: 1944
- Arch. f. klin. Chir. 1923; 124: 3
- Surg., Gynec. & Obst. 1943; 76: 51
- Ann. Surg. 1938; 108: 621
- Zentralbl. f. Chir. 1931; 26: 1234
- Zentralbl. f. Chir. 1931; 58: 1746
- Ann. Surg. 116. 1942: 200
- Wien. Klin. Wchnschr. 1888; 1: 254
- Wien. Klin. Wchnschr. 1889; 2: 515
- Wien. klin. Wchnschr. 1897; 10: 729
- Wien. med. Wchnschr. 1909; 5: 59
- Zentralbl. f. Chir. 1938; 29: 1626
- Am. J. Surg. 1935; 27: 194
- Beitr. z. klin. Chir. 1928; 142: 408
- Arch. f. klin. Chir. 1906; 80: 634
- Surg., Gynec. & Obst. 1938; 66: 527
- Arch. f. klin. Chir. 1925; 136: 479
- Deutsche Ztschr. f. Chir. 1927; 201: 244
- Deutsche Ztschr. f. Chir. 1929; 219: 1
- Zentralbl. f. Chir. 1931; 58: 550
- Zentralbl. f. Chir. 1932; 59: 394
- Zentralbl. f. Chir. 1933;
- Zentralbl. f. Chir. 1934; 61: 2946
- Zentralbl. f. Chir. 1935; 62: 1749
- J. Internat. Coll. Surgeons. 1940; 3: 11
- J. Internat. Coll. Surgeons. 1941; 4: 424
- Lyon chir. 1935; 32: 5
- Acta med. orient. 1944; 3: 1
- Brit. M. J. 1910; 2: 941
- Proc. Royal Soc. Med. 24. 1931: 989
- Am. J. Surg. 1939;
- J. Internat. Coll. Surgeons. 1939; 2
- Zentralbl. f. Chir. 1931; 48: 3034
Pannett: Quoted by Wangensteen.
- Zentralbl. f. Chir. 1931; 48: 3045
- J. Internat. Coll. Surgeons. 1944; 7: 202
- Ann. Surg. 1943; 118: 76
- Surgery. 1943; 14: 328
- Surgery. 1943; 14: 403
- Centralbl. f. chir. 1918; 43: 766
- Arch. f. klin. Chir. 1930; 16: 582
Wilensky: Quoted by Wangensteen.
Article info
Publication history
Received:
February 20,
1945
Identification
Copyright
© 1945 Published by Elsevier Inc.
