Publications by authors named "W W Rudd"

24 Publications

Ligation and cryosurgery of all hemorrhoids. An office procedure.

Authors:
W W Rudd

Int Surg 1989 Jul-Sep;74(3):148-51

Rudd Clinic for Surgery of the Colon and Rectum, Toronto, Canada.

Over 21,000 patients with symptomatic hemorrhoids were treated either at the Rudd Clinic in Toronto, or at Proctology International in the Cayman Islands, with the ligation or the ligation and cryosurgical technique. The procedures as described are simple, very effective and should be done in the office and not in the hospital. It is better for both patient and doctor and the cost saving is in the tens of millions of dollars in our series alone. Other problems such as anusitis and para-anal lesions should be differentiated from hemorrhoids and treated as described to improve your success rate. All surgeons are encouraged to adopt new techniques which will improve the treatment of their patients and their own reputation. It is a changing world--especially in medicine and we must keep up and be willing to adapt. I recommend the ligation and cryosurgical technique to all surgeons for the treatment of all symptomatic patients with hemorrhoids.
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February 1990

Office treatment of hemorrhoids.

Authors:
W W Rudd

Can Fam Physician 1987 Sep;33:2113-7

The author holds that the weight of evidence from experience with 20,000 patients indicates overwhelmingly that the office treatment of hemorrhoids by means of ligation and the cryosurgical technique described is the treatment of choice. He gives 10 reasons, most of which are to the benefit of the patient, but some of which also benefit the doctor. The cost saving amounts to millions of dollars, a factor that should be of interest to government and insurers. The author suggests that operative hospital hemorrhoidectomy should no longer be performed.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2218635PMC
September 1987

A prospective, randomized study of the management of severe ankle fractures.

J Bone Joint Surg Am 1985 Jan;67(1):67-78

One hundred and thirty-eight patients with a closed grade-4 supination-external rotation or pronation-external rotation ankle fracture (Lauge-Hansen classification) who were seen in the emergency room of the University of Chicago Hospitals were entered into a randomized study of the results of various methods of treatment. Ninety-six patients with satisfactory initial closed reduction were randomized between continued closed treatment in a plaster cast and open reduction with rigid internal fixation according to the techniques of the Association for the Study of Internal Fixation (ASIF). Forty-two patients with unsatisfactory closed reduction were randomized between open reduction with internal fixation of only the medial malleolus and open reduction with rigid internal fixation according to the ASIF techniques. Of the 138 patients who were admitted to the study, only seventy-one (51 per cent) could be followed for an average of 3.5 years (a typical return rate of urban trauma centers). The outcomes were evaluated by a scoring system that included clinical, anatomical, and arthritis scores. Statistical analysis of the data showed that, of the patients with initial satisfactory closed reduction, the ones treated by open reduction and rigid internal fixation had significantly higher total scores, particularly the patients who were more than fifty years old and those with a medial malleolar fracture. The small number of patients with unsatisfactory closed reduction who were treated by one of the two types of open reduction and internal fixation and were available for follow-up precluded drawing any conclusions about the superiority of one method of internal fixation over the other in that group. The difference in the talocrural angle between the injured and normal sides was the only statistically significant radiographic indicator of a good prognosis.
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January 1985

Symposium: anal incontinence.

Dis Colon Rectum 1982 Mar;25(2):90-107

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http://dx.doi.org/10.1007/BF02553245DOI Listing
March 1982
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