. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. )plied withnerves, bothfrom the sym-pathetic andthespinal sys-tems. Thespinal supplypredominatesup to a littleabove theverge of theanus, but aswe trace therectum u])-ward we findthe spinal twigs gradually giving way to those of sympatlietic origin,so that at three inches above the anus the sense of touch in. Fig. 2.—Nebtes of Anus and Reotum. 1. Siii-ral Nervee: posterior root distributed to coccyx and ext.(Sphincter. 2. Anterior Root, to ext. sphincter. 3. Pudic Nerveand its brancli tile inferior


. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. )plied withnerves, bothfrom the sym-pathetic andthespinal sys-tems. Thespinal supplypredominatesup to a littleabove theverge of theanus, but aswe trace therectum u])-ward we findthe spinal twigs gradually giving way to those of sympatlietic origin,so that at three inches above the anus the sense of touch in. Fig. 2.—Nebtes of Anus and Reotum. 1. Siii-ral Nervee: posterior root distributed to coccyx and ext.(Sphincter. 2. Anterior Root, to ext. sphincter. 3. Pudic Nerveand its brancli tile inferior hftniorrlioidal. t. Tub. ischii. , c. Sacrum, sp. Ext. sphincter, i. Levator nni. p,Transversue perinei. ri. Ischio-rectal space. O RECTAL AND ANAL SUHGEHY. the healthy organ is almost absent, while at the verge itselfwe have one of the most acutely sensitive surfaces of thebody. The spinal trunks come mainly from the sacralplexus. Owing to the complicated supply from both sys-tems, tlie reflexes of the rectum and anus are exceedinglynumerous and eneigetic, causing frequent f)erplexity andsome mistakes in diseased conditions as to the real seat ofthe patients malady. CHAPTER II. METHODS OF EXAMINING THE EECTUM. Like all other diseases depending for their diagnosisupon skill and accuracy in physical examinations, rectaltroubles are the source of endless blunders and failures onthe part


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Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases