. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. Fig. 11.—Van Bukens Speculum. 18 RECTAL AND ANAL Fig. 12.—Kelseys Speoulum. ment, is inserted with the plug iu, aud the feuestruni ouwhatever side it is desired first to examine. The plugIs then withdiawn and the membrane inspected; the plug is then re-insertedand the fenestrumturned in a newdirection, when theplug is again with-drawn. The plugprevents the edgesof the fenestrumfrom scraping themembranes pain-fully, and by severalre-insertions of itthe opening can beturned to every partof
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. Fig. 11.—Van Bukens Speculum. 18 RECTAL AND ANAL Fig. 12.—Kelseys Speoulum. ment, is inserted with the plug iu, aud the feuestruni ouwhatever side it is desired first to examine. The plugIs then withdiawn and the membrane inspected; the plug is then re-insertedand the fenestrumturned in a newdirection, when theplug is again with-drawn. The plugprevents the edgesof the fenestrumfrom scraping themembranes pain-fully, and by severalre-insertions of itthe opening can beturned to every partof the rectal walls. The inner opening shows something ofthe membrane prolapsed over it, but the orifice of the tip istoo small, and the instrument too short for efiiciency in deep jiresent rec-tal itinerantsgenerally use asmall, taperingspeculum, openat the tip, andhaving a plugto facilitate en-trance. LikeAllinghams, itis too short andtoo small fordeep work, but as it has a lateral fenestrum, closed by aremovable slide, most of the objects sought by that ignorantclass can be brought into \dew by means of it.
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Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases
