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Titlebook: Updates in Colo-Proctology; Jean-Claude Givel,Geoffrey D. Oates,James P. S. Th Conference proceedings 1992 Springer-Verlag Berlin Heidelbe

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Delay in the Diagnosis and Treatment of Colorectal Cancer [1]. The prognosis of colorectal cancer is primarily determined by the extent of tumour spread at the time of diagnosis [2] and for the last two decades it has remained unchanged, probably due to tumours continuing to present at an advanced stage [3, 4].
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Critical Appraisal of Hartmann’s Operation for Rectosigmoid Surgical Emergenciesive methods of treatment [4–9] such as emergency resection of the affected bowel, sometimes followed by primary anastomosis [7], with or without a protective proximal colostomy, or by iliac end-colostomy: in these cases the distal stump may be closed by suturing (Hartmann’s operation) [8, 9] or may be brought to the surface as a mucous fistula.
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