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Audit and the birth of the abdomino‐perineal excision for carcinoma of the rectum
Author(s) -
Wiley Malcolm J.,
Rieger Nicholas
Publication year - 2003
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1046/j.1445-2197.2003.02786.x
Subject(s) - medicine , rectum , rectal carcinoma , audit , carcinoma , general surgery , surgery , colorectal cancer , cancer , management , economics
Sir Ernest Miles first performed his radical abdomino‐perineal excision for carcinoma of the rectum in 1907. This event was the culmination of almost a decade of audit in which he carefully studied the outcomes of patients with rectal carcinoma. Miles's interpretation of his audit led, in a stepwise manner, to gradual changes in his operative technique and the eventual development of the radical abdomino‐perineal operation; the operation that bears his name. The Miles operation and the principles upon which it is based, would lead to an improved outcome for patients with rectal carcinoma.