Operative surgery . ated in feeble andaged patients affectedwith large and well-formed piles. The Remarks. — Inthis method, as in othersof like nature, the toofree removal of mucousmembrane is likely to befollowed by narrowing ofthe anal orifice. The se-quel can be prevented byleaving between the respective ligatures independent areas of mucous mem-brane. The contraction attending the cure will remedy the small, untiedhemorrhoids. If too large for this purpose, they may be punctured withthe heated points of a Paquelin cautery without causing objectionable con-traction of the mucous membrane. C
Operative surgery . ated in feeble andaged patients affectedwith large and well-formed piles. The Remarks. — Inthis method, as in othersof like nature, the toofree removal of mucousmembrane is likely to befollowed by narrowing ofthe anal orifice. The se-quel can be prevented byleaving between the respective ligatures independent areas of mucous mem-brane. The contraction attending the cure will remedy the small, untiedhemorrhoids. If too large for this purpose, they may be punctured withthe heated points of a Paquelin cautery without causing objectionable con-traction of the mucous membrane. Coatess Metliod.—Seize the pile with forceps and draw it down, andapply to the pedicle a long, narrow clamp; pass beneath the clamp a propernumber of sutures of fine catgut; excise the pile, loosen the clamp, checkbleeding, remove the clamp and tie the sutures tightly. The Crushing Method (Pollock).—The crushing method consists in crush-ing the pedicle of the growth by an improvised instrument or one especially. Fig. 1192.—Operation for the cure of lirature and excision. OIKliAIIoNS OX Till-: ANUS AND Ur^^CTUM. 001
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