. American practice of surgery ; a complete system of the science and art of surgery . the circular folds into which the mucous membrane of the prolapsed rectumis thrown. AMERICAN PRACTICE OF SURGERY. The excoriations and granulations which sometimes result from chronicprolapse may give rise to a nodular condition that may resemble order to differentiate between the two diseases it may be necessary to exam-ine a bit of the tissue with the microscope. Both the first and the second type are likely to be complicated by rectalhernia, or archocele, and this possibility must be borne
. American practice of surgery ; a complete system of the science and art of surgery . the circular folds into which the mucous membrane of the prolapsed rectumis thrown. AMERICAN PRACTICE OF SURGERY. The excoriations and granulations which sometimes result from chronicprolapse may give rise to a nodular condition that may resemble order to differentiate between the two diseases it may be necessary to exam-ine a bit of the tissue with the microscope. Both the first and the second type are likely to be complicated by rectalhernia, or archocele, and this possibility must be borne in mind in certain major. Fig. -Drawing Illustrates a Complete Procidentia of the Rectum, of the Third Degree,and Tuttle.) (Earle operations for the correction of the prolapse. In the aggravated cases, thecoils of small intestine may even surround the rectum, except at its mesentericattachment. In a prolapse of the third degree there is an intussusception of the upperportion of the rectum, and sometimes also of the sigmoid, into the lower por-tion of the rectum. It does not, however, cause strangury or complete ob-struction, probably on account of the great distensibility of the rectum. Thebowel does not protrude from the anus in this type, and the sphincter muscleand anal canal are normal. SURGICAL DISEASES OF THE ANUS AXD RECTUM. 881 The symptoms of iHolapsc of the rectum of the third degree are very ob-scure. There is generally a history of constipation, but. after it has existedfor some time, the constipation may alternate with diarrha?a. \Miicheverstate exists, the patient always complains that his
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
