. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 85.—Simple Horseshoe FistulaBefore c^^.^^ Fig. 86.—Appearance of WoundAfter Operation. inch (31 millimeters) apart, and extending them for a consid-erable distance beyond the angles of the wound. When the recto-vesical sinus is high up, the abdomenshould be opened and the operation performed from above. Recto-urethral Fistula is extremely difficult to cure. Manyremedies and operations have been suggested for the relief ofthis condition, but none of them has met with any great degreeof succe


. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 85.—Simple Horseshoe FistulaBefore c^^.^^ Fig. 86.—Appearance of WoundAfter Operation. inch (31 millimeters) apart, and extending them for a consid-erable distance beyond the angles of the wound. When the recto-vesical sinus is high up, the abdomenshould be opened and the operation performed from above. Recto-urethral Fistula is extremely difficult to cure. Manyremedies and operations have been suggested for the relief ofthis condition, but none of them has met with any great degreeof success. The best motto in these cases is perseverance; whenone procedure fails another should be tried, and still anotheruntil the right one is found. It is always necessary in thesecases to tie the bowels up and to keep the bladder emptyby interrupted or continued catheterization. A cure may beattempted by applying silver nitrate, zinc chloride, or thePaquelin cautery to the sinus; or the latter may be dilated and 266 DISEASES OF THE RECTUM AND ANUS curetted, or slit up and allowed to heal by granulation. Again,the sphincters may be d


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910