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February 22, 1908


JAMA. 1908;L(8):573-579. doi:10.1001/jama.1908.25310340001001

In the communication which it is here my privilege to make before this Association I wish to do no more than mention very briefly the case report and then proceed to discuss at greater length the question of the operative treatment of cancer of the rectum and the bearings which the operation described may have on it.

In the spring of 1903 there was admitted to the Royal Victoria Hospital in my service a man, aged 23, who had for nearly five years been suffering from a tuberculous proctitis. A left iliac artificial anus practically cured the condition, but at the expense of great scar narrowing, so much so as to constitute an obstruction. This condition defeated several attempts at closure of the artificial anus, and ultimately, so to speak, forced on me the idea of a total excision of the bowel from the artificial to the natural anus, though

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