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An Atlas of Rectal Endosonography (Paperback, Softcover reprint of the original 1st ed. 1991)
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An Atlas of Rectal Endosonography (Paperback, Softcover reprint of the original 1st ed. 1991)
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It is now more than 40 years since Drs. Wild and Reid published
their first experience with rectal ultrasonography from the Surgery
Department at the University of Minnesota. Professor Owen H. Wangen
steen, in whose laboratory the studies were carried out, recognized
at that time the need for early detection in the treatment of
cancer. Technical improvements over the past 20 years have made
endoscopy the procedure of choice for examination of the hollow
organs of the genital, urinary and gastrointestinal tracts. The
simultaneous development of endosonography has had an equally
dramatic impact on the practice of medicine and surgery. The
technology has been demonstrated to be helpful in both benign and
malignant conditions. One of the so-called benign conditions of the
anorectum is fistula-in-ano. Fistula surgery has always relied on
excellent anatomic delineation of the intramuscular tracts. There
is hope that adaptation of ultrasonographic technology will aid in
the surgical management of this malady. Clearly, rectal
ultrasonography has considerable potential in the management of
rectal carcinoma. Accuracy rates in the range of 90% for the depth
of neoplastic invasion have been reported. This ability for
accurate assessment will undoubtedly lead to a better definition of
the population of patients that can be managed by local therapeutic
means.
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