. Gynecology : . In a severe case the bowels are kept closed for ninedays; in a mild case, four or five days. If gas is troublesome, a very fine rubber or silver tube may be inserted andleft for several hours each day. The bowels may be moved by oil catharsis andenema. Whiteheads Operation.—The method of radical removal of the entirehemorrhoidal area should not be used as a routine measure, but reserved onlyfor those severe cases where the hemorrhoids appear in a great annular pro-lapsed mass about the anus and the individual piles are scarcely the operation was announced


. Gynecology : . In a severe case the bowels are kept closed for ninedays; in a mild case, four or five days. If gas is troublesome, a very fine rubber or silver tube may be inserted andleft for several hours each day. The bowels may be moved by oil catharsis andenema. Whiteheads Operation.—The method of radical removal of the entirehemorrhoidal area should not be used as a routine measure, but reserved onlyfor those severe cases where the hemorrhoids appear in a great annular pro-lapsed mass about the anus and the individual piles are scarcely the operation was announced numerous technics have been are accustomed to perform the operation in the following way: 820 GYNECOLOGY Patient in the perineal position. The sphincter is well dilated. Fourpoints are taken in the mucous membrane of the bowel at a level just behindits junction with the anal membrane. At these points sutures with long endsare placed, to be used for the purpose of traction and holding the bowel in.


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