. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 143.—Gants Pile, Prolapse, and Polyp Clamp. The Small Figures Showthe Different Clamps and their Clamping Power: A, Gants; B, Kelseys;C, Smiths; D, Langenbecks. to expose the edges of the wound, which sometimes turn inas they are cut. Fifth Step.—Every part of the stump is now thoroughlyburned with the flat point of the Paquelin cautery (), care being taken that no vessels are left uncauterizedbetween the edges of the wound (Fig. 145). The clamp isthen loosened slowly, and, if any uncauterized b
. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 143.—Gants Pile, Prolapse, and Polyp Clamp. The Small Figures Showthe Different Clamps and their Clamping Power: A, Gants; B, Kelseys;C, Smiths; D, Langenbecks. to expose the edges of the wound, which sometimes turn inas they are cut. Fifth Step.—Every part of the stump is now thoroughlyburned with the flat point of the Paquelin cautery (), care being taken that no vessels are left uncauterizedbetween the edges of the wound (Fig. 145). The clamp isthen loosened slowly, and, if any uncauterized bleeding-pointsare observed, it should be readjusted and the cautery appliedto them; then the clamp is again loosened and the piles are small or situated too high to be drawn. PLATE XXVI.—GANTS CLAMP ADJUSTED AND SCISSORS IN POSITION FOB EXCISION OF PROTRUDING INTERNAL HEMORRHOIDS. TREATMENT OF INTERNAL HEMORRHOIDS 439 down and clamped, the narrow cautery-blade should be drawnonce or twice across each pile; this will cause them to cautery may be applied, if used with discretion, to anydilated veins present which might at some future time formpiles. If any external hemorrhoids are present they shouldbe snipped ofif, or, if thrombotic, incised and the clot turnedout. Sixth Step.—The cauterized stumps are then gently re-turned within the sphincter and held in by a Urm, wedge-shapedgauze compress applied over the anus and firmly secured inplace by the authors operating harness (Fig. 146) or a welladjusted T-bandage. The patient is then placed in bed.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
