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The ileal conduit: Loop stoma
Dialytic Methods of Treatment Part I: The Basic Principles of Dialysis Wadi N. Suki This film is intended for patients and their families and orientation of nurses and new dialysis technicians. The emphasis is on home dialysis, although all the alternatives are explored. Urologists should keep it in mind as an adjunct to a talk to laymen or to advise its showing when requested to provide material on dialysis. As mentioned previously concerning a similar film on transplantation, it is this reviewer’s opinion that the value of the film would be greatly enhanced if a pamphlet would be prepared to accompany showings.
The Ileal Conduit: Loop Stoma Clarence B. Hewitt The author makes a good case for the loop rather than the end-on ileal stoma in certain circumstances. The film begins with the preoperative selection of the stoma site. The patient is demonstrated supine and seated, and the best location is then selected on this basis. The construction of a loop stoma requires a grid type of myotomy to eliminate peristalsis, and four fifths of ileal circumference must be incised to get adequate eversion of the stoma. The ureters are “hooked up” after the stoma is created. The author believes that obesity, prior radiotherapy, and previous abdominal surgery are indications for considering this approach. The film is good for several reasons: The filming is excellent, and the points that the author wishes to make are very clear. This reviewer was a bit surprised to see electrocoagulation of bleeders on the bowel wall. What was best about this film is that the author did not waste any time with extraneous scenes. What had to be shown was shown and that is all. This film is highly recommended since it shed new light on an oiatopic.
The Ischiorectal Approach to the Prostate John L. McCormack, Alexander W. Kretz, and Ron Tocantins This film shows the surgical approach to the prostate for biopsy in suspected prostatic cancer via one of the ischiorectal fossae. The idea is excellent and is expected to reduce incontinence and impotence following perineal procedures. This approach is only for biopsy and not for extirpation of the prostate. The technique is demonstrated but not always clearly principally because of difficulty filming in a small but deep hole. Little is said about the apex of the prostate which is of concern to the cancer surgeon. It is unfortunate that the surgeon and the cameraman were not more resourceful when it came to showing off their operation, otherwise this would have been an excellent film.
UROLOGY
/ AUGUST 1975 / VOLUME
VI, NUMBER 2
Transvesical Enucleation of Prostatic Adenoma A. Kelami This film was made as a teaching film for German medical students. That country is to be congratulated, if indeed they take such pains to educate the undergraduate in urology. It is a rare medical school in the United States that gives more than cursory attention to a specialty which accounts for a considerable proportion of hospital admissions. The film itself is interesting and well made; the author uses a bladder neck closing technique. The retropubic space is drained with a multiple-eyed catheter attached to a vacuum system.
Aphallia Lester Persky, and Aharon Lurie This film shows the extremely rare anomaly of aphallia. The authors describe the possible etiologic factors and the surgical intervention in this particular condition. A bilateral orchiectomy is performed and the scrotum is fashioned into labia. The child is raised as a female.
REVIEWER'S NOTE: The 70th A. U.A. Convention film program consisted almost exclusively of newly released films - and there were many. The sessions were so well attended that they had to be moved to a larger viewing room. This speaks volumes for the efforts of Dr. William Brannan (Vice Chairman of the A. U. A. Audio-Visual Committee). It may also be a clue to the direction in which future presentation of scientific results may be moving. Authors who have had difficulty getting on the regular program are resorting increasingly to the film and the scientific exhibit to get their ideas across. Admittedly these approaches cost a lot more than the preparation of a few slides for a talk but they are more effective and durable. Critics may point out that the subject matter of the scientific sessions was what drove the audience into the viewing room - but who are the film makers (A.Z.) to complain?
The following films were also shown at the Al ;rA convention in Miami: Intravenous Diazepam for Cystoscopy Adrian W. Zorgniotti Nosocomial Infections: Cause and Prevention Jay P. Sanford Image Intensification Fluoroscopy in Urologic Surgery Lloyd H. Harrison, and William H. Boyce Surgical Aspects of Renal Hydatid Disease John A. Oliver
269
The Ileal Conduit: Loop Stoma Clarence B. Hewitt The author makes a good case for the loop rather than the end-on ileal stoma in certain circumstances. The film begins with the preoperative selection of the stoma site. The patient is demonstrated supine and seated, and the best location is then selected on this basis. The construction of a loop stoma requires a grid type of myotomy to eliminate peristalsis, and four fifths of ileal circumference must be incised to get adequate eversion of the stoma. The ureters are “hooked up” after the stoma is created. The author believes that obesity, prior radiotherapy, and previous abdominal surgery are indications for considering this approach. The film is good for several reasons: The filming is excellent, and the points that the author wishes to make are very clear. This reviewer was a bit surprised to see electrocoagulation of bleeders on the bowel wall. What was best about this film is that the author did not waste any time with extraneous scenes. What had to be shown was shown and that is all. This film is highly recommended since it shed new light on an oiatopic.
The Ischiorectal Approach to the Prostate John L. McCormack, Alexander W. Kretz, and Ron Tocantins This film shows the surgical approach to the prostate for biopsy in suspected prostatic cancer via one of the ischiorectal fossae. The idea is excellent and is expected to reduce incontinence and impotence following perineal procedures. This approach is only for biopsy and not for extirpation of the prostate. The technique is demonstrated but not always clearly principally because of difficulty filming in a small but deep hole. Little is said about the apex of the prostate which is of concern to the cancer surgeon. It is unfortunate that the surgeon and the cameraman were not more resourceful when it came to showing off their operation, otherwise this would have been an excellent film.
UROLOGY
/ AUGUST 1975 / VOLUME
VI, NUMBER 2
Transvesical Enucleation of Prostatic Adenoma A. Kelami This film was made as a teaching film for German medical students. That country is to be congratulated, if indeed they take such pains to educate the undergraduate in urology. It is a rare medical school in the United States that gives more than cursory attention to a specialty which accounts for a considerable proportion of hospital admissions. The film itself is interesting and well made; the author uses a bladder neck closing technique. The retropubic space is drained with a multiple-eyed catheter attached to a vacuum system.
Aphallia Lester Persky, and Aharon Lurie This film shows the extremely rare anomaly of aphallia. The authors describe the possible etiologic factors and the surgical intervention in this particular condition. A bilateral orchiectomy is performed and the scrotum is fashioned into labia. The child is raised as a female.
REVIEWER'S NOTE: The 70th A. U.A. Convention film program consisted almost exclusively of newly released films - and there were many. The sessions were so well attended that they had to be moved to a larger viewing room. This speaks volumes for the efforts of Dr. William Brannan (Vice Chairman of the A. U. A. Audio-Visual Committee). It may also be a clue to the direction in which future presentation of scientific results may be moving. Authors who have had difficulty getting on the regular program are resorting increasingly to the film and the scientific exhibit to get their ideas across. Admittedly these approaches cost a lot more than the preparation of a few slides for a talk but they are more effective and durable. Critics may point out that the subject matter of the scientific sessions was what drove the audience into the viewing room - but who are the film makers (A.Z.) to complain?
The following films were also shown at the Al ;rA convention in Miami: Intravenous Diazepam for Cystoscopy Adrian W. Zorgniotti Nosocomial Infections: Cause and Prevention Jay P. Sanford Image Intensification Fluoroscopy in Urologic Surgery Lloyd H. Harrison, and William H. Boyce Surgical Aspects of Renal Hydatid Disease John A. Oliver
269