Edward Wilson

CARCINOMA OF THE COLON ASSOCIATED WITH APPENDICITIS.

ConclusionsThere can be no doubt that carcinoma of the colon may cause distention of the appendix, but how often such distention actually leads to acute appendicitis is not clear.The chance of overlooking an occult carcinoma of the colon is not sufficiently great to warrant discontinuing the use of a McBurney type incision in the elderly patient with acute appendicitis.

The unusual anal fistula

SummaryMost fistulas are characterized by the uniform site of the internal or “primary” opening. A series of unusual anal fistulas has been described in which the internal opening was not situated at this usual place. In addition, other lesions resembling anal fistula are mentioned.

LOCAL TREATMENT OF CARCINOMA OF THE RECTUM.

ConclusionsLocal treatment of carcinomain situ of the rectum is the procedure of choice. It is also preferable when there is a focal malignant change in a polyp with a pedicle that is not invaded by the cancer, and when a sessile carcinoma of low grade is less than 2 cm. in diameter.These indications may be extended in some cases when the general condition of the patient precludes a radical surgical procedure, when the patient, because of a poor mental condition, would not be able to manage the colostomy himself, and when a colostomy is refused.When a carcinoma of the rectum is inoperable, or when there is distant metastasis, local treatment may provide gratifying palliation.

Skin grafts in surgery for anal fistula

ConclusionSometimes skin grafts are indicated in surgery for anal fistulas as a delayed procedure when a large wound has become flat. Even then, they have certain disadvantages and are not always successful.