. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. causes paralysis, excessivedilatation, and ulcerative destruction of the sphincters, or ofany part of them. When the attack comes on suddenly there is consider-able pain, and a red andoften bloody tumor isfound projecting fromthe sjihincter, which issometimes reduced spon-taneously, and at othershas to be jjressed backby the hand. It is natur-ally marked by circularfolds as shown in , but in other casesthe submucous effusionrenders the tumorsmooth. Prolapse ofthe mucous membranealone rarely p
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. causes paralysis, excessivedilatation, and ulcerative destruction of the sphincters, or ofany part of them. When the attack comes on suddenly there is consider-able pain, and a red andoften bloody tumor isfound projecting fromthe sjihincter, which issometimes reduced spon-taneously, and at othershas to be jjressed backby the hand. It is natur-ally marked by circularfolds as shown in , but in other casesthe submucous effusionrenders the tumorsmooth. Prolapse ofthe mucous membranealone rarely projectsmore than two the tumor is longerthan that, especially ifit assumes a cylindroidform, other coats of the intestine will be found present inthe mass. In a few cases we have the third form of this accident,where the upper part of the rectum projects into the lower,and even considerable lengths of intestine from above havebeen known to be invagiuated and protrude through theanus. Mortification of the protruded part occasionallyoccurs, with the death of about half the Fig. of all the Coats (Estnarch). PROLAVSK OF THK RECTUM. 83 Treatment.—Whiitever the form of the accident, effortsmust be mude to return the mass, which can usually be donewithout ether by first washing the parts with solution ofcocaine, and then pressing them back with oiled in taxis will almost always succeed. In manycases the patient will remain cured, if he refrains fromstraining: but where the bowel continually comes down,artificial su})ports must be used. These are constructed intwo ways. In one a belt is placed around the waist, and anelastic baud having a solid or inflated pad attached is passedbetween the thighs in such a way as to press the pad againstthe anus. The anterior part of the band is divided so as tocome up to the belt in front on each side of the form consists of a belt, half steel and half leather,buckled about the hips
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Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases
