Operative surgery . Fig. 1170.—Operation for absence of anus. anterior sutures, b, c. Lateral su-tures tied. /, c. Anterior and posterior su-tures transfixing wall of gut. d. Example ofsuture of gut to border of wound. 950 OPERATIVE Fig 1171.—Instruments employed in operations on the anus. a. Scalpels. 6. Bistouries, r. Forcipressure. (Z. Speculum, e. Rubber tulie mounted withgauze for introduction into the anus and rectum. /. Dissecting and mouse-toothforceps, h. Strong hook forceps, i. Grooved director, j. Blunt retractor, k. Pileforceps. I. Needle holder, m. Long-nosed c


Operative surgery . Fig. 1170.—Operation for absence of anus. anterior sutures, b, c. Lateral su-tures tied. /, c. Anterior and posterior su-tures transfixing wall of gut. d. Example ofsuture of gut to border of wound. 950 OPERATIVE Fig 1171.—Instruments employed in operations on the anus. a. Scalpels. 6. Bistouries, r. Forcipressure. (Z. Speculum, e. Rubber tulie mounted withgauze for introduction into the anus and rectum. /. Dissecting and mouse-toothforceps, h. Strong hook forceps, i. Grooved director, j. Blunt retractor, k. Pileforceps. I. Needle holder, m. Long-nosed clamp forceps, n. Scoop, o. Spongeholder, p. Tenaculum, q. Pile clamp, r. Silver probe, s. Curved and straightscissors, t. Ligatures armed with needles, u. Chromicized catgut and silkwormgut. V. Long and short needles. Sponges, wipers, and ligatures are required. UIIIKAIIONS ON IllK AXIS AND KKCllM. 951 tlu si)liiiulir !is to |pi-cvciit till passajfe of llic lattiT \villi(jiiL ;j;reut ditlicultvalong the sinus iiitn ilic gut; tlaTcfore the alttnij)t to puss it should not hemade until the muscular contraction ceases. It may be advisable to paralyzethe sphincter by overdistcntion before dividing the sinus; this causes the


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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya