<prompt> Ideal management in an old and frail patient presenting with a mass situated 15 cm away from anal orifice: March 2005Abdomino-perineal resectionColonoscopic removalHamans operationAnterior resection  <response>: Ans. C: Hamans operation Hamans operation is an excellent procedure in an old and frail patient who would not stand a lengthy anterior resection, or in whom there is concern about the anal sphincter function or the bility of an anastomosis. 