Case of excision of the rectum : with a note on the operation of inguinal colotomy / by F.T. Paul.

  • Paul, F. T. (Frank Thomas), 1851-1941.
Date:
[1891]
Catalogue details

Licence: Public Domain Mark

Credit: Case of excision of the rectum : with a note on the operation of inguinal colotomy / by F.T. Paul. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    4 &* Cases of Excision of the Rectum, with a Note on the Operation of Inguinal Colotomy. By F. T. Paul, F.R.C.S. The operation of excision of the rectum for cancerous disease is yearly becoming more frequent; not, I think, because the operation is new, or the disease more common, but because cases formerly supposed to be outside the rauge of excision have been shown to be well within its limits. I have in all only excised the rectum four times, and it is with very much regret that I recall several cases in which I have refused to operate, because the disease was somewhat more extensive than it was then considered prudent to interfere with. My first case was operated on in 1881. The patient was a male, aged 47. He made a good recovery, and was shown at this Society four years later in good health, and quite free from recurrence. He had then been at his work as a bricklayer ever since the operation. There was no stricture of the rectum, and he had control over the motions, unless attacked with diarrhoea. My friend Dr Kellett Smith, who sent me the case, has been kind enough to ascertain that he is still in good health at the present time, ten years after operation. The growth was the size of a crown-piece, was a cylindrical-celled carcinoma, and is in the museum of the medical school. The second case occurred in the practice of Dr Hugh Shaw, in May 1888. The growth was low down, and was the same