. Diseases of the rectum and anus: designed for students and practitioners of medicine. to allay the of the remedies for the treatment of chronic proctitis 216 DISEASES OF THE RECTtHNI AND ANUS may be easily and quickly applied in ointment form by meansof the authors recto-colonic ointment syringe (Fig. 105). This condition being of a chronic nature, it is necessaryto observe caution in the administration of opiates. Surgical Treatment should not be resorted to in cases ofchronic proctitis until less radical measures have failed. Whenthe sphincter becomes hypertrophied or irritable,
. Diseases of the rectum and anus: designed for students and practitioners of medicine. to allay the of the remedies for the treatment of chronic proctitis 216 DISEASES OF THE RECTtHNI AND ANUS may be easily and quickly applied in ointment form by meansof the authors recto-colonic ointment syringe (Fig. 105). This condition being of a chronic nature, it is necessaryto observe caution in the administration of opiates. Surgical Treatment should not be resorted to in cases ofchronic proctitis until less radical measures have failed. Whenthe sphincter becomes hypertrophied or irritable, it should bethoroughly divulsed or cut. Ulcers which refuse to healshould be curetted and cauterized; polypi should be snaredor ligated and cut off. Vegetations require to be scraped off,or, better still, removed by clipping them from the mucosa towhich they are attached; when they are so numerous that thisis impracticable, an artificial anus should be made; the bowelcan then be medicated, kept clean, and set at rest. Whenthere is complete or partial occlusion, the stricture must be. Fig. 56.—Dr. R. C. Kemps Rectal Irrigator, New Model. Outer Tube, HardRubber; Central Tube of Metal. Hard-Rubber Flange, Protecting Sphinc-ter from Transmission of Heat Through the Metal Parts. divulsed, incised internally (internal proctotomy), or poste-riorly, the incision being carried down through the anus (ex-ternal proctotomy). When these operations fail, a permanentartificial anus should be made in the left iliac region (inguinalcolostomy). In exceptional cases of chronic proctitis compH-cated by both papillomatous excrescences and stricture, noth-ing short of extirpation of the aftected part of the bowel givesany hope for the future. MEMBRANOUS COLO=PROCTITIS Synonyms. — Secretion neurosis of the colon and rectum;tubular, fibrinous, or desquamating colo-proctitis. Membranous colo-proctitis is an inflammation of the colonand rectum peculiar to neurotics, and is characterized by colickypa
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
