. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. a Small Polypus neath, and are OI aGBOwiNG ON AN Internal Pile. ^j^^j^j^ ^^^^^.^^j^ ^^j^^.^ while external piles apjii-oach more to apink tint. When internal piles are foundprotruding, they generally present a rip-pled, irregular surface on account of thepresence of the reticulated ridges of thecolumns of Morgagni, and of the sacculiHorneri among them. External piles on *-the contrary if distended are smoother incontour. The difference is well shown inKg. l-t, page 23. The skin and mucous membrane
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. a Small Polypus neath, and are OI aGBOwiNG ON AN Internal Pile. ^j^^j^j^ ^^^^^.^^j^ ^^j^^.^ while external piles apjii-oach more to apink tint. When internal piles are foundprotruding, they generally present a rip-pled, irregular surface on account of thepresence of the reticulated ridges of thecolumns of Morgagni, and of the sacculiHorneri among them. External piles on *-the contrary if distended are smoother incontour. The difference is well shown inKg. l-t, page 23. The skin and mucous membrane cover-ing piles near the verge of the anus areexcessively sensitive, biit the mucous mem-brane covering the upper portion of in-ternal piles is nearly devoid of sensil)ility,a fact which should influence all our plans in operating. p^^ ^,. HiBmorrhoidal tumors have a remark- Pile formed by T , ,., i !• 1 1 i_ Globuled Clot able erectile power, not mentioned by most ^nder the Skin.—authors, and resembling that of the curjius (Smth-)spongiostun of the penis. This singular tendency enables. :uoRimou>s oh i-iles. 25 us to bring internal ])iles into view for examination or opera-tion, by simply irritating tlu^n by a slightly rongli hanillingwith the finger. Under the touch they, in a few moments,erect themselves to their full size and are readily lirouglitto view. The treatment of Inemorrhoids is palliative or oj)erative. Palliative Treatment. We have called the non-opera-tive measures palliative, for in the majority of eases they failto make a real cure, and only mitigate the suffering, yet it istrue that in recent cases, where organic changes have not yetbecome established many hfemorrhoids return to a state ofnearly perfect health under palliative treatment, so that wemay say that in such cases they actually assist nature toeffect a real cure. One of the mofet important measures, is to combatconstipation, because the pressure of the fecal mass com-presses and obstructs
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