Summary
In a number of cases, during resection of rectosigmoid carcinoma, malignant cells implanted at the site of the anastomosis cause recurrence. This can be prevented by transproctoscopic irrigation of the rectal stump during the operation, using a solution of perchloride of mercury. However, many surgeons are deterred from using this technic because they find that it is somewhat awkward. In this communication, a convenient method for performing the irrigation, using a specially designed flexible rectal tube, is described. No special skill is required to use it and it can be applied easily whenever restorative resection is performed. Thus, many recurrences should be prevented.
Similar content being viewed by others
References
Bacon, H. E. and J. K. McGregor: Prevention of recurrent carcinoma of the colon and rectum: Report on 236 patients. Dis. Colon & Rectum.6: 209, 1963.
Goligher, J. C., C. E. Dukes, and H. J. R. Bussey: Local recurrences after sphinctersaving excisions for carcinoma of rectum and rectosigmoid. Brit. J. Surg.39: 199, 1951.
Lloyd-Davies, O. V.:In d’Allaines, F., C. N. Morgan, and O. V. Lloyd-Davies: Discussion on conservative resection in carcinoma of rectum. Proc. Roy. Soc. Med.43: 697, 1950.
Lloyd-Davies, O. V.: Personal communication to the author.
Morgan, C. N.: Trends in the treatment of tumours of the rectum, rectosigmoid and left colon. J. Roy. Coll. Surgeons, Edinburgh.1: 112, 1955.
Morgan, C. N.: Discussion on major surgery in carcinoma of the rectum with or without colostomy, excluding the anal canal and including the rectosigmoid: Restorative resection. Proc. Roy. Soc. Med.50: 1050, 1957.
Morgan, C. N.: Carcinoma of the rectum. Ann. Roy. Coll. Surgeons England.36: 73, 1965.
Taylor, S.:In: Recent Advances in Surgery. London, J. and A. Churchill, Ltd., 1964, p. 69.
Author information
Authors and Affiliations
About this article
Cite this article
Clery, A.P. Irrigation of the rectum with carcinocidal solutions during anterior resection. Dis Colon Rectum 10, 183–185 (1967). https://doi.org/10.1007/BF02617176
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02617176