. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. )er-plexed to control a bleeding from aninternal point, whose exact location isvery obsciue to him. For the method of arresting rectalhajmorrhage the reader is referred topage 32. The Circular Excision, or White-heads Operation. — , of England,published in the British3Ic(lica] JouriKil nearlylive years ago a new planof operation, which wasxerj energetic, but involv-ed some dangers, and wasnot tlierefore acceptable timost siugeons. ProfessorEobt. F. Weir, of NewYork, tried it, however,bu
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. )er-plexed to control a bleeding from aninternal point, whose exact location isvery obsciue to him. For the method of arresting rectalhajmorrhage the reader is referred topage 32. The Circular Excision, or White-heads Operation. — , of England,published in the British3Ic(lica] JouriKil nearlylive years ago a new planof operation, which wasxerj energetic, but involv-ed some dangers, and wasnot tlierefore acceptable timost siugeons. ProfessorEobt. F. Weir, of NewYork, tried it, however,but soon abandoned it onaccount of its obvious <le-fects. Mr. Whitehead him-self became dissatisfied with his method and in February,1887, published in the BrUish Medical Joiiriuil a modifica-tion of the jjlan, and claimed complete success in three. Fig. 21.—Notts Ecbabeue. 42 RECTAL AND ANAL SURGERY. humlred consecutive cases without a single death, secondaryhfemorrhage, abscess, ulceration, stricture or incontinenceof the ffeces. Notwithstanding these brilliant claims themethod is liable to several objections, so much so that wehave declined thus far to use it, but Prof. Weir, after tryingit six times, announces his approval of it. Mr. Whiteheads improved procedure is as follows:The sphincters are first forcibly stretched. Next thesurgeon with dissecting forceps picks up the integumentnear the junction of the skin and mucoiis membrane andwith scissors cuts through the mucous membrane at orpretty near the white line indicating its junction with theskin, making a rapid incision entirely around the bowel andupward until the upper edge of the external sphincterand the lower edge of the internal one are exposed to dissection is then carried upward along the innersurface of the internal sphincter separating the piles andmu
Size: 1009px × 2477px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases
