. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 175.—Inferior Proctectomy. Herbert W. Allingliams Preliminary Incisions. author as follows: The patient, prepared and anesthetized, isplaced in the lithotomy position, with legs flexed upon the ab-domen and buttocks projecting over the end of the table. Theexternal parts and the rectum are thoroughly cleansed, and, ifthe patient is a male, a sound or silver catheter is introducedinto the bladder as a guide to guard against injuring the deepurethra. The sphincter-muscle is divulsed with the thumbs andth


. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 175.—Inferior Proctectomy. Herbert W. Allingliams Preliminary Incisions. author as follows: The patient, prepared and anesthetized, isplaced in the lithotomy position, with legs flexed upon the ab-domen and buttocks projecting over the end of the table. Theexternal parts and the rectum are thoroughly cleansed, and, ifthe patient is a male, a sound or silver catheter is introducedinto the bladder as a guide to guard against injuring the deepurethra. The sphincter-muscle is divulsed with the thumbs andthe anus everted with forceps. The bowel is now completelydivided by a circular incision made immediately above the ex-ternal sphincter, and the rectum above the incision freed suffi-ciently to be grasped with four long-handled, T-shaped forceps,one on each of its sides, and held by an assistant. In order to gain the necessary room for dissection, a 552 DISEASES OF THE RECTUM AND ANUS probe-pointed bistoury is pushed, with its flat side toward thebowel, upward for a distance of two


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910