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Volume 33 (1980)
- Issue 6 Pages 545-
- Issue 5 Pages 441-
- Issue 4 Pages 317-
- Issue 3 Pages 201-
- Issue 2 Pages 91-
- Issue 1 Pages 1-
Predecessor
Volume 33, Issue 6
Displaying 1-9 of 9 articles from this issue
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T. Yoshio, K. Hirano, Y. Nagasawa1980 Volume 33 Issue 6 Pages 545-549,614
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIndications for intestinal stomas were discussed and classifiad in 4 groups as follows : (1) end enterostomy, (2) decompression, (3) procedure before ano-rectal plasty, (4) prevention of passage to the distal lesion. Our 404 cases of intestinal stomas were analysed and divided by this classification.
The original disease of the intestinal stomas were ano-rectal cancer (74.0%), siginoid cancer (5.7%), congenital disease (5.0%) and so on.
Furthermore, the operation technics of the intestinal stomas were presented and the technic which employed in our clinic were divided in following 3 groups :
1) primary skin-leval loop-colostomy employed the glass rod
2) primary skin-level end-colostomy throngh extraperitoneal route
3) primary end-ileostomy with eversion or Kock's continent ileostomyView full abstractDownload PDF (335K) -
Y. Sumikoshi, M. Okada, J. Iwadare, H. Ishida, S. Takenoshita1980 Volume 33 Issue 6 Pages 550-553,614
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDuring past 18 years, between 1962 and 1979, 409 cases of colostomy and 8 cases of ileostomy were established at the Social Insurance Central Hospital. Up to 1966, there were fatal complications, 2 cases of necrosis result in peritonitis, a case of late ileus and 2 cases of perforation. At that time we had employed coventional procedure.
Since then extraperitoneal primary open colostomies have been established. In these procedure there were no severe complications, but 5 cases of stricture, 6 cases of hernia, 4 cases of prolapse were encountered. Careful management which doesn't make to much incision of the fastia of the abdominal oblique muscles prevents paracolostomy hernia and prolapse.
If stricture occurred at the stomal limb, it is not considered that repair of stenotic site will be followed by good result. The simple best way in such case is a loop colostomy of the transverse colon.View full abstractDownload PDF (336K) -
K. Shindo1980 Volume 33 Issue 6 Pages 554-559,615
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSStoma care begins with a rational explanation of the colostomy or ileostomy to a patient on admission and to his family. Next approach is preoperative siting of the stoma at bed-side.
After the surgery the most suitable appliance must be chosen in each patient carefully. Toilet-trainning is various depending on patient's situation and preference ; natural defecation, diet or drug control, irrigation, etc. Initial trainning of irrigation should be conducted by his surgeon.
Adhesive skin barrier is recommended for immediate postoperative care and for peristomal dermatitis. The barrier is classified in four groups : Karaya gumi, synthetic gumi, carboxymethyl cellulose, and copolymerised film.
Fecal odor is the most annoying in the ostomist. Production of odor must be controlled by means of diet, medication, complete isolation of feces, etc. Otherwise fecal material or gas is deodorized by physical absorption method by active carbon or surfactant, chemical absorption, contact oxidation, bacteria utilization, disinfectant, and so on. Odor counteraction or masking effect of perfume is another aspect of odor countermeasure.
Sosial security for ostomists is developing with minimal pension of \ 462, 000.View full abstractDownload PDF (542K) -
S. Anazawa, S. Togo, H. Takahashi, M. Suzuki, T. Watanuki1980 Volume 33 Issue 6 Pages 560-565,615
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSOstomy appliances play the most important role in stoma rehabilitation. Esp ecially in natural evacuation, it may fairly be said that the better after care of ostomy patient depend on adequate choice of ostomy appliancs.
Estimated number of ostomy patients in Japan is one hundred thousands, and only five hundreds belong to ostomate clubs, to whom up to date information about ostomy care may be given. Namely, it is major problem for stoma rehabilitation in our country to call and care of the rest, non-organized ostomy patients.
Many kinds of good for ostomy care are in the market, whereas many of homemade appliance are also used. Although correct inquiry about present status of ostomy appliances can not be performed, it is sure that adhesive appliances are used most commonly because of suitableness for all types of bowel habit and food confining capability of odor.
From economical aspect, most of ostomy patient use appliances of cheap but of poor quality because of heavy economical burden. The compensation system of ostomy appliance by public expenses should be established without delay in our country.View full abstractDownload PDF (469K) -
T. Tamura1980 Volume 33 Issue 6 Pages 566-568,616
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA very close relationship exists between the stoma and skin troubles in its surrounding area. Thus, it is not an overstatement to say that if the skin trouble can be kept to the minimum, the after care of stoma has been successfull. However, as the causes for skin troubles are diversified, it is necessary to establish preventive and therapeutic measures to counter each source of trouble. Thus, it can be said that skin care is most important preventsve measure against all causes. It has recently become a basic procedure in Japan to use such skin barrier agent as Karaya washer and Varicare from immediately after surgery.
Needless to say, it is important to make a good stoma so that the efficacy of the above procedures can be further enhanced and the patient can be returned to society to resume his role.View full abstractDownload PDF (271K) -
K. Tazawa1980 Volume 33 Issue 6 Pages 569-576,616
Published: 1980
Released on J-STAGE: December 03, 2009
JOURNAL FREE ACCESSRecently, there has been a remarkable advancementy in the postoperative peristomal skin care of the colostomy and ileostomy.
So-called E. T. (enterostomal therapist) on stoma management, has provided pleasant daily life and early restoration of social occupation to ostomy patients, especially in United States. Since its inception at the Cleveland Clinic in 1958, enterostomal therapy has undergone an impressive development. Acceptance for training of enterostomal therapy is now limited to registered nurses.
There are currently forteen schools in United States, and five schools in Australia that provide training programs for the speciality of enterostomal therapy. Proffesional care of ostomy patients is beeing developed in many other countries of world too.
In Japan, there are no training school for entorostomal managrnent, but recently the training programs for E.T. have been disussed in Association of Ostomy Appliance.
The duties of the enterostomal therapist have to broader special treatment for the ostomy patients, and be well suited to application in the care of abdominal fisfula and drainage.
Medical compensation should have been one of the recognized duties of the enterostomal therapist.
The local ostomate clubs accomplished to the ostomy patients to seek help among themselves, was commented on.View full abstractDownload PDF (520K) -
W. Ishii, K. Kawai, M. Tomizawa, K. Matai, T. Watanuki1980 Volume 33 Issue 6 Pages 577-580,617
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe carbon dioxide laser (Medilaser-S having 60w. max. power) was first installed at Jikei Hospital in 1977. Since the time it was used as a ancillary tool on various operation in general surgery and we have experienced over two handred cases containing 25 patients with fistula-in-ano. Radical operation for fistula-in-ano was performed by means of irradiation of 20-25w. focused or defocused laser beam, and pathological tissue for the fistula was compeltely vaporized. The damage to healthy skin tissus was minimum extensive, the time for operation was reduced, and the operation field was kept dry under haemostatic condition. Postoperative course was quite smooth under painless condition and the wound healing was satisfactory without keloid formation.
The CO2 laser proved significantly more effective for ano-rectal surgery especially to fistula-in-ano in comparison to routine method.View full abstractDownload PDF (5047K) -
A Case Report with Histochemical StudyR. Ariwa, Y. Sumikoshi, M. Okada1980 Volume 33 Issue 6 Pages 581-586,617
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThis paper reports the histopathological observation of mucinous adenocarcinoma arising in preexisting perianal hidradenitis supprativa of over 15 years duration in 45-year-old man, in whom biopsy of the perianal ulceration showed mucinous adenocarcinoma underlying anal squamous epithelium.
Combined abdomino-perineal resection was performed on Sep. 1974. He subsequently died on 16 Feb. 1979, four years six months after the operation.
In this case, It was not possible to demonstrate histologically the primary lesion to be associated with the anal glands or apocrine glands. Mucin histochemical studies of mucinous carcinoma were performed. The PAS-positive mucin of mucinous carcinoma showed meta-chromasia and PAS-reactivity was completely abolished after periodate borohydride Saponi-fication (PB/KOH) indicating scarcity or abscence of O-Acylated sialic acids in the anal gland mucus. These findings are highly suggestive of the anal gland origin of the mucinous adenocarcinoma. Histopathological observations were also made of eighteen cases of perianal hidradenitis supprativa. Obtained materials for biopsies or resection showed pseudo-epithe-liomatous hyperplasia of epidermis, perifolliculitis in dermis, subcutaneous abscesses, fistulas, sinuses and cutaneous scarring. In no cases was demonstrable any direct histological evidence of inflammation in apocrine glands.View full abstractDownload PDF (6156K) -
1980 Volume 33 Issue 6 Pages 587-610,619
Published: 1980
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (3356K)
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