. Clinical gyncology, medical and surgical. is better to avoid operation. All that we can do is to relieve the pain withsuppositories or injections of morphine, and to overcome constipation withlaxatives. The diet should be carefully regulated, being confined to suchfood as furnishes the largest amount of nourishment with the least amountof solid residue. The palliative procedure, dilatation by bougies, should berejected. Proctotomy consists in making a posterior median section com-prising all the soft parts from the anus to the coccyx. This operation isdone for the purpose of facilitating the
. Clinical gyncology, medical and surgical. is better to avoid operation. All that we can do is to relieve the pain withsuppositories or injections of morphine, and to overcome constipation withlaxatives. The diet should be carefully regulated, being confined to suchfood as furnishes the largest amount of nourishment with the least amountof solid residue. The palliative procedure, dilatation by bougies, should berejected. Proctotomy consists in making a posterior median section com-prising all the soft parts from the anus to the coccyx. This operation isdone for the purpose of facilitating the evacuation of the bowels and saving 908 DISEASES OF THE RECTUM AND ANUS. the patient from obstruction. The indications for it, however, are excep-tional. The creation of an artificial anus is the most effective method oftreating the obstruction in some cases. This should be made in the left iliacregion in those cases in which the disease involves the greater part of the rec-tum. When it is limited to the anus or the lower five inches of t
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