. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. , carbol ^^s. GlyceririEP fl. fj. Aqnfp H. iij. is pretty strontr, and often requires to be diluted. Kelsey also advises the following: Ij. Chloral Zj. CamphoriE 3j. Ung. petrol ;j. Misce. IJ Menthol Zj. Ol. amygd. dulc 11. 3J. Acid carljol Ij. Zinc, oxid Zi j. Cerat. simp 3ij. Misce. J^ Ung. picis Ziij. belladon Zij. Tr. aconiti rad fl. Zss. Zinci oxid 3j. TJng. rosarum ;iij. Misce. When any of these are found too strong they require toV)e diluted or weakened. Those containing powerful na
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. , carbol ^^s. GlyceririEP fl. fj. Aqnfp H. iij. is pretty strontr, and often requires to be diluted. Kelsey also advises the following: Ij. Chloral Zj. CamphoriE 3j. Ung. petrol ;j. Misce. IJ Menthol Zj. Ol. amygd. dulc 11. 3J. Acid carljol Ij. Zinc, oxid Zi j. Cerat. simp 3ij. Misce. J^ Ung. picis Ziij. belladon Zij. Tr. aconiti rad fl. Zss. Zinci oxid 3j. TJng. rosarum ;iij. Misce. When any of these are found too strong they require toV)e diluted or weakened. Those containing powerful nar-cotics must not be inserted in too large doses into therectiim. AUingham finds that the mechanical pressure of a hardpad bound against the anus, or the insertion of a smoothhard rubber plug into the rectum is a substantial relief tosome patients. Nerve Stretching.—A sort of nerve stretching accom-plished by forcibly dilating the sj^hincters has a curative MALFORMATIONS OF THE liECTUM^IRLRITrS ANl. 117 effect on some obstinate cases of pniritns, which aie prohahhto be classed as Fig. 42.—Nebve Distribution about the Anus. 1. Sacral Nerves; posterior root distributed to surface of coccyx and external sphinc-ter. 2. Anterior root, to external sphincter. 3. Pudic nerve and its branch, the inferiorhiemorrhoidal. t. Tub. ischii. s. Sacrum, c. Coccyx. Sp. Ext. sphincter. I. Levatornni. p. perinei. ri. Ischio-rectal sjiace. The cut on this page (after Hilton) gives a clear repre-sentation of the local nerve distribution. CHAPTER INJUEIES. Incised Wounds.—These may be caused by accident,or be a necessary result of operations. Owing to the loca-tion, p\irely accidental incisions are rare. A part of themare made by surgeons acting carelessly in the operation oflithotomy. They occur also from stabs and falls on sharpobjects. The incision bleeds freely, and may do so danger-ously. The gas, mucus and fseces also escaj^e through thewound, and wh
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