the antique art of proctology - surgerysymposium.org
TRANSCRIPT
![Page 1: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/1.jpg)
The Antique Art of Proctology
Mark W. Arnold MDChief, Colon and Rectal Surgery
The Ohio State University WexnerMedical Center
![Page 2: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/2.jpg)
Dinner Conversation with Dr. Goldberg
• Me: I don’t think there has been a significant advance in proctology since the 1950s.
• Dr. Goldberg: That’s ridiculous. What about the LIFT procedure?
• Me: Okay, I’ll give you the LIFT procedure. What about the stapled hemorrhoidectomy?
• Dr. Goldberg: That should never be done.
• Me: That’s my point.
![Page 3: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/3.jpg)
Bibliography
• 1. A Treatise on Diseases of the Rectum, Anus, and Sigmoid Flexure; Joseph M. Mathews, MD, Professor of Surgery and Clinical Lecturer on Disease of the rectum, Kentucky School of Medicine, 1892.
• 2. Lectures upon Disease of the Rectum and the Surgery of the Lower Bowel; W.H.Van Buren, MD LLD, Porfessor of the Principles and Practice of Surgery in the Bellevue Hospital Medical College, New York, 1881.
• 3. The Diagnosis and Treatment of Diseases of the Rectum being A Practical treatise on Fistula, Piles, Fissure and Painful Ulcer, Procedentia, Polypus, Stricture, Cancer, etc.; William Allingham, FRCS, Eng and Herbert W. Allingham, FRCS, Eng, Late Senior Surgeon to St. Mark’s Hospital for Disease of the Rectum, etc., New York, 1901.
• 4. A Practical Treatise on Rectal Disease Their Diagnosis and Treatment by Ambulant Methods; Jacob Dissinger Albright, MD, Philadelphia, 1909.
![Page 4: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/4.jpg)
![Page 5: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/5.jpg)
Obsolete?
![Page 6: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/6.jpg)
Anatomy
![Page 7: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/7.jpg)
Pelvic AnatomyAlbright
![Page 8: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/8.jpg)
Pelvic Anatomy Albright
![Page 9: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/9.jpg)
Normal Rectum and Anus Albright
![Page 10: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/10.jpg)
Tools of the Trade
![Page 11: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/11.jpg)
Proctologic exam table Mathews
![Page 12: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/12.jpg)
Allison’s Physician’s TableAlbright
![Page 13: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/13.jpg)
Proctoscope with battery light source. Mathews
![Page 14: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/14.jpg)
AnoscopesMathews
![Page 15: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/15.jpg)
The Albright Improved Rectal Set Albright
![Page 16: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/16.jpg)
Cook’s rectal speculumMathews
![Page 17: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/17.jpg)
Rectal Irrigator Albright
![Page 18: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/18.jpg)
Hemorrhoids
![Page 19: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/19.jpg)
Metal pile plug Mathews
![Page 20: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/20.jpg)
Hemorrhoidial truss
![Page 21: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/21.jpg)
Sclerolosing a Hemorrhoid Albright
![Page 22: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/22.jpg)
Hemorrhoidal excision Allingham
![Page 23: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/23.jpg)
Excision of Thrombosed Hemorrhoid Albright
![Page 24: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/24.jpg)
Sutured hemorrhoidectomy.Mathews
![Page 25: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/25.jpg)
HemorrhoidectomyMathews
![Page 26: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/26.jpg)
Fistulas and Abscess
![Page 27: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/27.jpg)
Cryptoglandular disease Van Buren
![Page 28: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/28.jpg)
Perirectal Abscesses Van Buren
![Page 29: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/29.jpg)
Goodsell’s Rule Allingham
![Page 30: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/30.jpg)
FistulatomeMathews
![Page 31: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/31.jpg)
Fistologram Radiograph Albright
![Page 32: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/32.jpg)
Seton placementMathews
![Page 33: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/33.jpg)
Fistulotomy Mathews
![Page 34: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/34.jpg)
Fistulotomy Albright
![Page 35: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/35.jpg)
Fistula tracts found in Chronic Proctitis Albright
![Page 36: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/36.jpg)
Fissures
![Page 37: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/37.jpg)
Fissure-in-ano Albright
![Page 38: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/38.jpg)
Fissure-in-ano Albright
![Page 39: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/39.jpg)
Procidentia
![Page 40: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/40.jpg)
Procidentia 1st Degree Van Buren
![Page 41: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/41.jpg)
Procidentia Allingham
![Page 42: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/42.jpg)
Procidentia Mathews
![Page 43: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/43.jpg)
Procidentia Van Buren
![Page 44: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/44.jpg)
Procidentia Van Buren
![Page 45: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/45.jpg)
Polyps and Tumors
![Page 46: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/46.jpg)
Benign Polyp Van Buren
![Page 47: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/47.jpg)
Benign PolypVan Buren
![Page 48: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/48.jpg)
Giant Condylomata/Squamous cell Mathews
![Page 49: The Antique Art of Proctology - surgerysymposium.org](https://reader030.vdocuments.us/reader030/viewer/2022012523/6196ab5cce87120b0a3591c5/html5/thumbnails/49.jpg)
Conclusions
• By the early 20th century, there was a sophisticated understanding of proctologic diseases and their treatment.
• This foundation provides the basis for most of current therapy.
• There have been many innovations in the interim, but few actual improvements.