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ARTICLE |

Colon and Rectal Surgery FREE

Gregory C. Oliver, MD
JAMA. 1989;261(19):2833-2834. doi:10.1001/jama.1989.03420190109029
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The rapid pace of technological advance requires monitoring and evaluation of the proposed application. Within colon and rectal surgery, at least seven new means to treat internal and external hemorrhoids or combinations thereof have been introduced recently. Indications for these newer treatments and an assessment of their utility were recently reviewed by Salvati.1 The vast majority of hemorrhoidal problems can be managed in an ambulatory setting. Laser technology, including neodymium:yttrium-aluminum-garnet (Nd:YAG), argon, and carbon dioxide, has been been reported to be of use in the treatment of primarily internal hemorrhoidal disease. Early efforts to treat internal hemorrhoids using air transmission Nd:YAG via endoscopes or handheld probes have progressed to coagulation, coaptation, and excision by contact Nd:YAG scalpel.2 Argon laser has been employed to treat internal hemorrhoids.3 The wavelength of argon is selectively absorbed by certain pigments, of which hemoglobin is one. Theoretically, hypervascular tissues such as hemorrhoids

REFERENCES

Salvati EP.  Current management of hemorrhoids . Schumpert Med Q. 1988;;7:3-18.
Sankar MY, Joffe SN.  Technique of contact laser hemorrhoidectomy: an ambulatory surgical procedure . Contemp Surg. 1987;;30:9-11.
O'Conner JJ, Strickland KI.  Argon laser treatment of colonrectal disease . In: 1988 Abstracts, 82nd Annual Scientific Assembly of the Southern Medical Association . New Orleans, La: Southern Medical Association; 1988;:131.
Griffith CD, Morris DL, Ellis I, Wherry DC, Hardcastle JD.  Outpatient treatment of hemorrhoids with bipolar diathermy coagulation . Br J Surg. 1987;;74:827.
Localio SA, Eng K, Coppa GF.  Abdominosacral resection for midrectal cancer . Am Surg. 1983;;198:320-324.
Hodgman CG, MacCarthy RL, Wolff BG, et al.  Preoperative staging of group carcinoma by computed tomography and 0.15T magnetic resonance imaging . Dis Colon Rectum. 1986;;29:446-450.
Beynon J, Roe AM, Foy DMA, Channer JL, Virgee J, McMortensen NJ.  Preoperative staging of local invasion in rectal cancer using endoluminal ultrasound . J R Soc Med. 1987;;80:23-24.
di Candio G, Mosca F, Campatelli A, Cei A, Ferrari M, Basolo F.  Endosonographic staging of rectal carcinoma . Gastrointest Radiol. 1987;;12:289-295.
Salvati EP, Rubin RJ, Eisenstat TE, Siemons GO, Mangione J.  Electrocoagulation of selected carcinoma of the rectum . Surg Gynecol Obstet. 1988;;166:393-396.
Sickle-Santanello B, O'Dwyer PJ, Mojzisik C, et al.  Radioimmunoguided surgery using the monoclonal antibody B72.3 in colorectal tumors . Dis Colon Rectum. 1987;;30:761-764.
Tsai LC, Lin JK, Han SH, Chen HM.  Suppression of the growth of human colorectal carcinoma cells (LS174T) by radio-labeled monoclonal antibody (131I-MAbC27) in tissue culture and nude mice . Dis Colon Rectum. 1988;;31:781-785.
Wexner DS, Smithy WB, Milsom JW, Dailey TH.  The surgical management of anorectal disease in AIDS and preAIDS patients . Dis Colon Rectum. 1986;;29:719-723.
Wexner SD, Milsom JW, Dailey TH.  The demographics of anal cancer are changing . Dis Colon Rectum. 1987;;30:942-946.
Wexner SD, Smithy WB, Trillo C, Hopkins BS, Dailey TH.  Emergency colectomy for cytomegalovirus ileocolitis in patients with the acquired immune deficiency syndrome . Dis Colon Rectum. 1988;;31:755-761.

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Salvati EP.  Current management of hemorrhoids . Schumpert Med Q. 1988;;7:3-18.
Sankar MY, Joffe SN.  Technique of contact laser hemorrhoidectomy: an ambulatory surgical procedure . Contemp Surg. 1987;;30:9-11.
O'Conner JJ, Strickland KI.  Argon laser treatment of colonrectal disease . In: 1988 Abstracts, 82nd Annual Scientific Assembly of the Southern Medical Association . New Orleans, La: Southern Medical Association; 1988;:131.
Griffith CD, Morris DL, Ellis I, Wherry DC, Hardcastle JD.  Outpatient treatment of hemorrhoids with bipolar diathermy coagulation . Br J Surg. 1987;;74:827.
Localio SA, Eng K, Coppa GF.  Abdominosacral resection for midrectal cancer . Am Surg. 1983;;198:320-324.
Hodgman CG, MacCarthy RL, Wolff BG, et al.  Preoperative staging of group carcinoma by computed tomography and 0.15T magnetic resonance imaging . Dis Colon Rectum. 1986;;29:446-450.
Beynon J, Roe AM, Foy DMA, Channer JL, Virgee J, McMortensen NJ.  Preoperative staging of local invasion in rectal cancer using endoluminal ultrasound . J R Soc Med. 1987;;80:23-24.
di Candio G, Mosca F, Campatelli A, Cei A, Ferrari M, Basolo F.  Endosonographic staging of rectal carcinoma . Gastrointest Radiol. 1987;;12:289-295.
Salvati EP, Rubin RJ, Eisenstat TE, Siemons GO, Mangione J.  Electrocoagulation of selected carcinoma of the rectum . Surg Gynecol Obstet. 1988;;166:393-396.
Sickle-Santanello B, O'Dwyer PJ, Mojzisik C, et al.  Radioimmunoguided surgery using the monoclonal antibody B72.3 in colorectal tumors . Dis Colon Rectum. 1987;;30:761-764.
Tsai LC, Lin JK, Han SH, Chen HM.  Suppression of the growth of human colorectal carcinoma cells (LS174T) by radio-labeled monoclonal antibody (131I-MAbC27) in tissue culture and nude mice . Dis Colon Rectum. 1988;;31:781-785.
Wexner DS, Smithy WB, Milsom JW, Dailey TH.  The surgical management of anorectal disease in AIDS and preAIDS patients . Dis Colon Rectum. 1986;;29:719-723.
Wexner SD, Milsom JW, Dailey TH.  The demographics of anal cancer are changing . Dis Colon Rectum. 1987;;30:942-946.
Wexner SD, Smithy WB, Trillo C, Hopkins BS, Dailey TH.  Emergency colectomy for cytomegalovirus ileocolitis in patients with the acquired immune deficiency syndrome . Dis Colon Rectum. 1988;;31:755-761.
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