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Volume 32, Issue 5
Displaying 1-9 of 9 articles from this issue
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1979 Volume 32 Issue 5 Pages 1-57
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (21073K) -
M. Takano1979 Volume 32 Issue 5 Pages 443-447,490
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSBy conventional open method of ligation and excision, valuable anoderm has been removed too much, which induced excessive loss of the anoderm resulting in the prolonged healing of the wound. To minimize the defect, anoderm-preserving method was devised. The principle of the procedure is as follows ; 1. Internal and external hemorrhoids are completely removed. 2. The anoderm is reserved as much as possible. 3. Subanodermal hemorrhoidal tissues are removed completely. 4. Reserved flaps of the prolapsed anoderm are restored to its original position into the anus by hemming of the bilateral fringes of the anoderm and mucosa. The approximated bilaterel flaps of the anoderm are sutured to the anal verge. 5. Open wound is made outside of anal verge for outer drainage and prevention of skin tag formation.
The results are excellent with accelerated healing of the wound, no discomfort of the patients, shortening of convalescence and fewer complications.View full abstractDownload PDF (372K) -
K. Masuda1979 Volume 32 Issue 5 Pages 448-453,490
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSOne of the methods for treatment of hemorrhoids with post-operative scar is sclero-therapy.
Another method is surgical i.e., ligation and excision procedure. The other is also surgical sliding skin graft procedure.
In this paper, we showed some cases of such combined procedures of hemorrhoidectomy performed in our clinic.View full abstractDownload PDF (6377K) -
Y. Matsushima, A. Kinugasa1979 Volume 32 Issue 5 Pages 454-459,491
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSExternal, internal hemorrhoids and skin tag in all round area of anus are most difficult type for therapeutics.
Patients who had these types anal disorder not to be satisfied with ordinary treatment.
Author classified three types clinicaly in these disorders, and determined rational treatment.
Abont the operative procedure, author commended ligation and excision operation with slidig skin method on the posterior portion of the anus, furthermore performed internal sphincterotomy.View full abstractDownload PDF (5426K) -
S. Masumori, T. Ozeki, Y. Koshimura, T. Tauchi, M. Nogaki, M. Nogaki, ...1979 Volume 32 Issue 5 Pages 460-467,491
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSSuch anal diseases as fissura-in-ano and fistula-in-ano are often associated with homorrhoids.
Either of the lesions is essentially subject to preservative treatment for the function of anal sphincter.
In this paper, it mainly dealt with the chronic fistula, anal fissure and anal stenosis, excluding the cases which did not always need the surgical therapy.
In case of a slight and mild degree of fissura ani, it applied to the anal digital dilatation and surgical drainage with its trimming.
On the other hand, anal stenosis was. treated with the sliding skin graft procedure in this series.
Many discussions about the problems on fissura ani and fistula-in-ano were patho-logically made recently in connection with coring-out procedure for preserving anal sphincter muscle functionally.
Even in the cases of homorrhoidectomy, there are many kinds of important matter, prp-, in-, and.post- operatively (examination, digital dilatation, muscularis submucosae ani, surgical drainage with trimming, and so on.)
We don't forgotten that the further evaluation is necessary for the treatment of anal diseases with 'hemorrhoids.View full abstractDownload PDF (4384K) -
M. Okada, H. Ishida, J. Iwadare, Y. Sumikoshi1979 Volume 32 Issue 5 Pages 468-472,492
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe post-operative complications are discussed, as for its causes, prvention and management. Intractable granulation wounds and anal strictures are most troublesome complications for which, adequate sphincter dilatation, good designed drainage formation and control of inflammatory changes must be carried out at operation and in post-operative period.
In the cases with recurrent haemorrhoids, the varices remain around the previous operation. That indicates accessory piles were removed and main piles remain intact. This fact shows erroneous selection to remove haemorrhoids at the first occasion.View full abstractDownload PDF (420K) -
T. Iwanaga, I. Fukuda, H. Furukawa, H. Koyama, K. Taniguchi1979 Volume 32 Issue 5 Pages 473-477,492
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSOne hunderd and one lesions of colorectal carcinoma resected surgically in the Ceter for Adult Diseases, Osaka, were studied on macroscopical diagnosis of the depth of cancerous invasion.
When the diameter of the malignant lesions becomes longer, cancer invaded deeper into the colorectal wall; the lesions of less than 2cm in diameter revealed superficial carcinoma, and the lesions of more than 7cm showed cancerous invasion in deeper layer than subserosa (ss). Shape of the lesion correlated to the depth of cancerous invasion in order of pedunculate, sessile, and protruded lesions; cancerous invasion of pedunculate lesion limited in mucosa (m) or submucosa (sm), that of sessile lesion was into sm or proper muscle layer (pm), and that of protruded lesion was into pm or ss. Cancerous invasion into the deeper layer was more observed in the lesion with depression than in the lesion without depression, and in the deep depression than in the shallow depression. The most of lesions in which bottom level of the depression was deeper than level of surrounding mucosa was deeply invasive cancer. Many lesions with convergence had the deep invasion of cancer, and the lesion accompanied with marked convergence was found the cancer invaded into serosa (s).
Finally, by means of combinations of these findings, cancer invasion was easily estimated into the layers of the colorectal wall.View full abstractDownload PDF (384K) -
R. Ariwa, Y. Sumikoshi, M. Okada, S. Sumie, J. Iwadare, H. Ishida1979 Volume 32 Issue 5 Pages 478-484,493
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSSix cases of perianal Paget disease are reported. Each cases showed underlying carcinoma, including-one case of sweat gland carcinoma, two cases of anal mucinous adenocarcinoma and three cases of rectal carcinoma. Underlying carcinoma and Paget's cells were examined histologically and histochemically.
Anal mutinous adenocarcinoma, sweat gland carcinoma and Paget cells was chara-cterized by PAS reactivity that was completely abolished after Periodate Borohydride Saponification (PB/KOH), while, rectal cancer cases showed strongly positive PB/KOH/PAS staining, both in underlying carcinoma and in Paget cells in affected anal and perianal skin.
The results indicated that PB/KOH/PAS method may be of value in differentiating between Paget's cells arising in anal mucinous adenocarcinoma and in rectal adenocarcinoma.View full abstractDownload PDF (8684K) -
T. Takeshita, K. Eto, M. Miyaoka, C. Koizumi, E. Matsumoto, S. Okita, ...1979 Volume 32 Issue 5 Pages 485-488,493
Published: 1979
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSEleven cases of rectal ulcer due to the injury by enema tube were presented. Diagnosis was performed according to the follwing criteria.
1. no past history of rectal ulcer.
2. no spesific rectal symptoms.
3. small in size or linear in shape (mostly) and limited location in the distal rectum.
4. healing easily and no relapse.
5. non specific changes in histology except for barium crystals deposition.
Endoscopically, the shape of ulcer was variable from linear to round or irregular but majority of these ulcers showed longitudinal linear form.
The size of the ulcer was from 0.5 to 2.0 cm in greatest diameter. These ulcers were seen between 5 to 10 cm from the anal verge. There was no difinite tendency of ulcer location ; 6 on the anterior wall, 7 on the posterior wall and remaining 3 on the lateral wall.
Histology, accumulation of barium-laden in lamina propria of mucosa and submucosa of the rectum was observed only in three cases.
When the ulcer was seen in the rectum, careful differential diagnosis is necessary to rule out these unexpected lesions, under patient history, endoscopic finding and histology.View full abstractDownload PDF (4890K)
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