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November 14, 1931

Chirurgie du rectum.

JAMA. 1931;97(20):1486. doi:10.1001/jama.1931.02730200062034

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This book is a modernization of the book on diseases of the rectum published by Quénu and Hartmann in 1895. Throughout the text the reader is impressed with the sound pathologicanatomic background. Disease processes are clearly defined and consequently the diagnosis of some of the more obscure infectious processes observed in the rectum is made more obvious, as in the chapters on fistula in ano and strictures of the rectum. The author makes a practical suggestion in the treatment of bilateral ischiorectal abscesses, which if opened laterally to the anus result in a horseshoe fistula because of the fact that almost all these bilateral abscesses originate on the posterior wall of the rectum from a single lesion (injury or ulcer). With this pathologic-anatomic fact in mind, Hartmann suggests that the abscesses be drained by dividing the sphincter in the posterior line. This allows free drainage of both ischiorectal fossae and

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