Abdominoperineal Excision: Evolution of a Centenary Operation

During the last century, great improvements have been made in rectal cancer management regarding preoperative staging, pathologic assessment, surgical technique, and multimodal therapies. Surgically, there was a move from a strategy characterized by simple perineal excision to complex procedures performed by means of a laparoscopic approach, and more recently with the aid of robotic systems. Perhaps the most important advance is that rectal cancer is no longer a fatal disease as it was at the beginning of the 20th century. This achievement is definitely due in part to Ernest Mile's contribution regarding lymphatic spread of tumor cells, which helped clarify the natural history of the disease and the proper treatment alternatives. He advocated a combined approach with the rationale to clear "the zone of upward spread." The aim of the present paper is to present a brief review concerning the evolution of rectal cancer surgery, focusing attention on Miles' abdominoperineal excision of the rectum (APR) and its controversies and refinements over time. Although APR has currently been restricted to a small proportion of patients with low rectal cancer, recent propositions to excise the rectum performing a wider perineal and a proper pelvic floor resection have renewed interest on this procedure, confirming that Ernest Miles' original ideas still influence rectal cancer management after more than 100 years.

The Arctic prairies; a canoe-journey of 2,000 miles in search of the caribou; being the account of a voyage to the region north of Aylmer Lake,

Mode of access: Internet.

Stump puller in action four miles west of Gladwin, Michigan, September, 1914

description accompanying photograph: photos of stump puller made September 1914. Location: some four miles west of Gladwin, Mich. Undersigned was a member of this stumping crew at that time. signed: C. Ernest Robison 402 N. Broadway Spencerville, Ohio 45887

The arctic prairies; a canoe-journey of 2,000 miles in search of the caribou; being the account of a voyage to the region north of Aylmer lake,

"Copyright, 1911 ... New uniform edition ... 1917 ... Republication October 30, 1943."

Book review: Humane medicine by Miles Little

No abstract

Exotic vs endemic biocontrol agents: Would the real stratiolaelaps miles (Berlese) (Acari : Mesostigmata : Laelapidae), please stand up?

The ability of introduced organisms to invade undisturbed native habitats is a major concern in conservation biology and has resulted in a re-evaluation of the introduction of exotic biocontrol agents, especially of generalist predators. One such agent is Stratiolaelaps miles (Berlese), a predatory mite described from Italy, known from throughout the Holarctic, and apparently accidentally introduced to other areas of the world, including Australia. Initial investigations revealed that putative S. miles could be found in both disturbed and relatively pristine habitats in Queensland, Australia. However, analysis of the mitochondrial DNA of five populations showed most to be highly divergent genetically. Subsequent morphological analysis established two species groups: the lamington-group from cool-temperate to subtropical rainforests in Eastern Australia and the more eurytopic miles-group with a cosmopolitan distribution. We describe two new species from each of these complexes (Stratiolaelaps womersleyi, Stratiolaelaps lamington; Stratiolaelaps marilyn, Stratiolaelaps lorna, respectively), and resurrect Stratiolaelaps scimitus (Womersley), a species which often appears to have been confused with S. miles. Additionally, the large genetic distances among morphologically homogenous species in the miles-group suggest that the apparently cosmopolitan S. miles may be composed of a suite of cryptic species of potentially varying utility in biological control. (C) 2002 Elsevier Science (USA). All rights reserved.

A synoptic list of the fishes known to occur within fifty miles of Chicago, by S. E. Meek and S. F. Hildebrand.

Fieldiana Zoology v.7, no. 9

Report on excavations at Jemdet Nasr, Iraq / by Ernest Mackay; with preface by Stephen Langdon; 18 plates. Field Museum-Oxford University joint expedition. Berthold Laufer --, editor.

v.1:no.3(1931)

The mammalian fauna of Madura Cave, Western Australia. Macropodidae: Potoroinae / Ernest L. Lundelius, Jr. -- William D. Turnbull --.

n.s. no.14(1984)

The mammalian fauna of Madura Cave, Western Australia, Ernest L. Lundelius, Jr. -- William D. Turnbull --.

n.s. no.6(1981)