Operative surgery . ve, m. Long and short needles, n. Aseptic pad anehore< Chromicized catgut and silkworm gut. p. Mallet, q. Chisel, r. Black , ligatures, wipers, forcipressure, and blunt dissector are required. OPERATIONS ON THE ANUS AND RECTUM. 969 Tlie Operation.—Thorouglily cleanse and shave the perinanim; employlocal or general an; as circumstances demand. The situation, direc-tion, and extent of the liberating incisions will depend on the location andextent of the abscess. If the abscess be superficial, either antero-posterioror radiating incisions are suit
Operative surgery . ve, m. Long and short needles, n. Aseptic pad anehore< Chromicized catgut and silkworm gut. p. Mallet, q. Chisel, r. Black , ligatures, wipers, forcipressure, and blunt dissector are required. OPERATIONS ON THE ANUS AND RECTUM. 969 Tlie Operation.—Thorouglily cleanse and shave the perinanim; employlocal or general an; as circumstances demand. The situation, direc-tion, and extent of the liberating incisions will depend on the location andextent of the abscess. If the abscess be superficial, either antero-posterioror radiating incisions are suitable. If deep, the radiating should be em-ployed, carefully avoiding the sphincter ani and the internal i)udic incisions should be avoided. If abscess be in front of therectum a transverse perineal incision in the male and vaginal incision in thefemale may be required. If behind, or at the side of the bowel high up, aposterior median incision may be needed. In all instances the finger should. Fig. 1198.—The ischio-rectal spaces and contiguous anatomy, a. Iliac fascia, h. Ante-rior crural nerve, c. Iliao vessels, d. Brim of pelvis, e. Recto-vesical fascia. /.Obturator fascia, g. Anal fascia, h. Internal pudic vessels and nerve. * Ischio-rectal fossje. f Anterior superior spine of ilium. be carried into the opening and search made for channels and pockets,exploring freely in every direction. A single cavity may be formed if prac-ticable; if not, the side pockets should be drained by inci-sions. Thorough cleansing and light packing with gauze should follow,being repeated during the healing process as frequently as cleanliness andgood drainage require. The Remarhs.—Abscess may develop between the recto-vesical and analfascia (/;), and at either side between the levator ani muscle and the base ofthe bladder, or it may extend from the ischio-rectal fossa to these ischio-rectal abscess may be of limited size, located at any p
Size: 1760px × 1419px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
