. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. he gut and thence out again about half an inch from tliepoint of entrance, and oiit through the skin of the other edgeof the wound, and draw after it a stout ligature. Repeatthis process behind the axial line, and by these loops raisethe gut up into the wound. Next, incise the gut parallel tothe incision in the skin nearly from one loop to the blunt hook will now easily diaw out the loops from theinside of the gut, and by dividing them, four ligatures are atonce produced, wherewith to tie t
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. he gut and thence out again about half an inch from tliepoint of entrance, and oiit through the skin of the other edgeof the wound, and draw after it a stout ligature. Repeatthis process behind the axial line, and by these loops raisethe gut up into the wound. Next, incise the gut parallel tothe incision in the skin nearly from one loop to the blunt hook will now easily diaw out the loops from theinside of the gut, and by dividing them, four ligatures are atonce produced, wherewith to tie the cut edges of the intestineto the skin. A few more stitches are required to supportadjacent parts. After the surplus contents of the intestine have escaped,the wound can be di-essed with oakum, or any other porousantiseptic absorbent. The stitches should remain until, bytheir looseness, they show that they are no longer useful. CHAPTER XII. MALFORMATIONS OF THE RECTUM-PRURITUS ANI. Children are occasionally born with no outlet to thebowel. In some instances the obstruction is merely a thin. Fig. 40.—Imperforate Anus [Esynarch). membrane across the anus, through which the dark shade ofthe meconium shows. In other instances the anus and lower 110 MALFOliMATIONS OF THK RKCTUM-FRVRITIS . Ill rectum is perfect, liut there is a septum higlier up. Inother cases the wliole rectum is wanting, and even someportion of tlie colon. There are also instances where therectum ends in the vagina or in the bladder. Treatment.—Where there is onlv a thin meml)rHne
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