Wood's Medical and Surgical Monographs . method. A blunt-pointed straig-ht bistoury is passed into the rec-tum and the anus is divided in the median line behind as farup as is iDossible without encroaching: upon the disease. Forsafety half an inch of healthy mucous membrane should beremoved with the affected part both above and below theedg-e of the cancer, and the rectum by this first dorsal incisionthroug:h the sphincters should be divided up to that limit. The blunt-pointed bistoury is of no further use and a long-,strong, sharp-pointed scalpel is substituted. This is entered 24 Stricture o
Wood's Medical and Surgical Monographs . method. A blunt-pointed straig-ht bistoury is passed into the rec-tum and the anus is divided in the median line behind as farup as is iDossible without encroaching: upon the disease. Forsafety half an inch of healthy mucous membrane should beremoved with the affected part both above and below theedg-e of the cancer, and the rectum by this first dorsal incisionthroug:h the sphincters should be divided up to that limit. The blunt-pointed bistoury is of no further use and a long-,strong, sharp-pointed scalpel is substituted. This is entered 24 Stricture of the Rectum. in the Avound already made and passed along- behind the rec-tum till its point has passed the upper limit of the growth asindicated by the fing-er of the left hand in the g-ut. All of thetissue behind the gut with the skin is then divided in themedian line b3 a sing-le sweep of the knife. The second in-cision simply deepens the first and carries it to a point abovethe disease; though the first divided bowel and the second. does not touch bowel but divides the tissue behind it. Theobject is to dissect out as rapidly as possible the diseased por-tion of gut as a cylinder and without dividing it. The second knife is now abandoned and the operation iscompleted with the scissors shown in the cut, Fig. 6, the dorsalincision being tightly packed with large firm sponges and theedges of the wound held open bj the retractors shown, Fig. T. With the left index finger in the diseased cylinder for aguide, the right side of the affected gut is freed from its at-
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyork, bookyear18
