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Volume 26 (1973)
- Issue 4 Pages 371-
- Issue 3 Pages 265-
- Issue 2 Pages 143-
- Issue 1 Pages 1-
Predecessor
Volume 26, Issue 4
Displaying 1-10 of 10 articles from this issue
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T. Kasukawa1973 Volume 26 Issue 4 Pages 371-379,423
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe study reported here is concerned with the clinicopathology of 15 cases of early cancer and 220 cases of advanced cancer of the colon and rectum. The patients were examined and treated at the 1st department of surgery, Toho university during the years Jan., 1952 to June, 1972 inclusive.
Author advocated the following modificated classification of colorected cancer and the Stage I should be called the earlycancer.View full abstractDownload PDF (3731K) -
S. Saigusa1973 Volume 26 Issue 4 Pages 380-382,423
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSVarious anorectal, examinations in my office, inspection, palpation, bidigital examination, ano and proctoscopy and especially strain examination using reflecting mirror in toilet, are described.View full abstractDownload PDF (238K) -
M. Watanabe, M. Watanabe1973 Volume 26 Issue 4 Pages 383-384,424
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe principle and procedures of our ambulatory treatment of anal diseases are reported briefly in this paper.
1) We emphasize the importance to inspect the anus after defaecation for the first step of anal examination.
2) Local anesthesia (1% procaine with adrenaline) has been used for both outpatients and inpatients in our clinic.
3) 2-3% Dibasic Calcium Phosphate suspension in glycerin has been used for the sclerotherapy of internal haemorrhoids.
4) Multiple puncture technique devised by " Stone " is useful for the therapy of pruritus ani. A total of 5-10 ml of 40% ethyl alcohol is deposited subcutaneously. (95% ethyl alcohol was used in the original tenchique.)
5) In addition to usual operations for anal diseases, so called "Medical haemorrhoidectomy " is useful especially for the patients complications.
6) Hamoligator is occationally used not only for internal haemorrhoid but also for internal haemorrhoid with external haemorrhoid.View full abstractDownload PDF (183K) -
H. Narumi1973 Volume 26 Issue 4 Pages 385-390,424
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe importance of digital examination for the diagnosis of anal diseases was emphasized. Zeroid, a plastic cylinder 1.2 cm in diameter 10 cm in height with cooled solvent, showed good results for the conservative treatment of anal diseases.
As to operative procedures, ligation and excision method was recommended.View full abstractDownload PDF (8358K) -
K. Tsuji1973 Volume 26 Issue 4 Pages 391-393,425
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe 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.View full abstractDownload PDF (2006K) -
The indication, limitation and combination with other methodsM. Takano, Y. Sumikoshi, [in Japanese], S. Sato, M. Sumie1973 Volume 26 Issue 4 Pages 394-396,425
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSMost of hemorrhoids of moderate degree are able to be treated at out-patient services. However, some knowledges and experiences are demanded for the selection of patients in view of the indication, limitation, combination with other methods, safety and freedom from pain. For the past one year and 10 months, 149 cases of hemorrhoids were treated at our clinic with the combination of 5% phenol almond oil, . McGivney's hemoligator and trichlor acetate.
The effect of sclerotherapy is remarkable in I-and II-degree bleeding hemorrhoids. Submucous injection must be strictly observed for the prevention of necrosis of the mucosa, intravascular instillment, prostatitis and urethritis in male cases. The amdunt can be varied according to the size, prolapsing tendency and other factors. The effect of sclerotherapy is not necessarily permanent and in some cases bleeding recurs 3 to 12 months after the injection. In these cases, the injection is repeated. The indication of sclerotherapy is not limited to I- and II-degree hemorrhoids but also applied to some cases of III-degree hemorrhoids, prolapsing mucosa and fissure caused by prolapsing hemorrhoids.
The injection method is supplemented by ligation method with hemoligator, which is used for soft, fingertip-sized hemorrhoids of any degree. Remaining, small external hemorrhoids and skin tags are cauterized by trichlor acetate with mild sensation of hotness. Large, III-degree hemorroids combined with external hemorrhoids are operatively treated in the hospital.View full abstractDownload PDF (347K) -
J. Sameshima1973 Volume 26 Issue 4 Pages 397-398,426
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe wound of proctological diseases should be treated more tenderly and protectively than on other surgical wound, because any rough manner of proctological examination or treatment causes severe pain of patients and a prolongation of wound healing.
Accordingly, consultating table, lightning system and analoscope were deviced for general proctologists to be able to deal with more easily, and then, some of otorhinological instruments were applied to open and spread anal wound with less stimulation. Especially, the soft and elastic cottonsponge-stick made of bamboo, which is 3 mm in diameter and 20 cm in length, seemed to be very useful and effective to releve patient's pain and to protect a benign granulation formation, concerned with observation, cleaning and drug-application of anal wound.View full abstractDownload PDF (176K) -
N. Miyata1973 Volume 26 Issue 4 Pages 399-400,426
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIn this report, the diagnostic and therapeutic methods concerning anal diseases in out patient clinic were reported as follows;
1) Interview with patients.
Analgia, anal bleeding and hemorrhoidal node, which are the common complaints of anal diseases, should be asked in detail.
2) Physical examinations.
Anus and rectal mucosa are firstly palpated by naked finger after supine position and examined by the proctoscope.
In the cases of anal fistula, not only the external orifice of fistula but localization of originated focus has to be carefully examined.
3) Therapeutic managements.
a) Internal hemorrhoids:
Internal hemorrhoids with first degree are treated by the local injection method with less than 0.5 ml of 5% phenol glycerin solution which is called as the sclerotherapy.
To treat internal hemorrhoids with second degree, the sclerotherapy shows not so satisfactory results because of its temporary effect. However, recently; Helio hemorrhoidal ligater method shows good results.
b) External hemorrhoids:
External hemorrhoid with thrombus can be treated with local injection of less than 1.0 ml of 33% phenol glycerin solution after ligation which is called as the necrosing therapy.
c) Anal fissure:
Anal fissure with Trias symptoms, namely, sentinel pile, anal ulcer and hypertrophic papilla, needs to be removed.
The necrosing therapy as mentioned above is also useful to remove anal fissure. However, anal fissure with deep ulceration and with hypertrophic sphincter muscle cannot be treated in out patient clinic.
d) Periproctal abscess and anal fistula:
The periproctal abscess is firstly treated by incision and drainage in out patient clinic. However, anal fistula in consequence of incision has to be treated after hospitalization.
4) Conclusively, anal diseases well selected by careful examination are considered to be well treated in out patient clinic by using suitable procedure.View full abstractDownload PDF (236K) -
1973 Volume 26 Issue 4 Pages 401-409
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (763K) -
1973 Volume 26 Issue 4 Pages 410-421
Published: 1973
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (978K)
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