. Diseases of the rectum and anus: designed for students and practitioners of medicine. structed needle describingsomewhat more than a semicircle (Fig. 132), and a few kanga- 404 DISEASES OF THE RECTUM AND ANUS roo-tendons. The needle carrying the tendon is made to pene-trate the mucous membrane just within the anus and describea half-circle in the submucous tissue (Fig. 132), when it isbrought out and reintroduced at the same point, continuing thecircle until it emerges at the point of entrance. The ligature isthen tied, including all the structures within its grasp. Fromtwo to six such areas
. Diseases of the rectum and anus: designed for students and practitioners of medicine. structed needle describingsomewhat more than a semicircle (Fig. 132), and a few kanga- 404 DISEASES OF THE RECTUM AND ANUS roo-tendons. The needle carrying the tendon is made to pene-trate the mucous membrane just within the anus and describea half-circle in the submucous tissue (Fig. 132), when it isbrought out and reintroduced at the same point, continuing thecircle until it emerges at the point of entrance. The ligature isthen tied, including all the structures within its grasp. Fromtwo to six such areas are ligated according to the severity ofthe case, and, where all the rectal coats are prolapsed, thesutures are placed deep in the muscular tissue. The originator of this operation maintains that the irrita-tion excited by the ligature is sufficient in degree and durationto produce permanent adhesions and effect a cure. ILLirSTIlATIVE CASESCase XXIV. Prolapse Due to Summer Diarrhea (Cauterization).—A little girl, 2 years old, was brought to the dispensary to be treated for Fig. 133.—Le Roy Indestructible Cautery, Her mother said that the child had been suffering from summer complaintfor three weeks; the stools were frequent and caused much pain and straining;while on the chamber half an hour before, the piles came down. I placed thechild across my knees, flexed the limbs, and a tumor the size of a hens egg(Fig. 122) presented itself just outside the anus. It was soft, smooth, andglobular in shape, with a slit in the center. The case proved to be a typicone of prolapse of the mucous membrane. The sphincter was relaxed, andevery time the tumor was returned within the bowel it would immediatelyreappear. Treatment.—Chloroform was administered and the tumor reduced; thenthe cautery-point was introduced up the bowel for two inches (5 centi-meters) and then brought down and outward. This was repeated a numberof times, until there were a number of parallel lines about ha
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
