4. An Ambulatory Treatment of Proctologic Patients

Abstract

The ambulatory treatments of proctologic patients have hitherto been generally limited to the conservative medical treatments by way of the administration of internal medicines or the external applications of drugs, and also, to such methods as the topical injection or application of medicines, which give scleroting or necrotizing action, and the topical ligature. Surgical treatments that may be effective for complete cure have required hospitalization of the patients as inpatients.
Heretofore, in Japan, the evils inflicted by proctologic diseases to the national life have not been taken into serious consideration, and has been made light of as the objects of minor surgery. It is too much to say that as the consequence, many therapeutic difficulties uncovered have been relegated to oblivion, with little or no progress or improvement in the surgical approach ever being devised. However, the proctology in Japan has achieved a great progress both in its academic and therapeutic phases through the effects expended for the development of the Japanese Society of Colo-Proctology since its founding (1947) until today. On the basis of my thirty years' experience in the ambulatory surgical treatments of proctologic patients, I am strongly in belief that now is the time to utilize the surgical method or operations that may bring about a complete cure for the general ambulatory treatment.