. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. 24 RECTAL AlVn ANAL SURGERY. sundry projecting tabs and folds of skin which are stillcalled external piles, though no longer containing enlarged veins. Most of thetemjjorary piles form-ed by estravasatedclots are also in the. external Owing to thethe transhicency ofmucous membraneinternal hfemorrhoidsshow the color of theâ â distended veins be- FiG. 15. â Internal and External Piles nut Cleablt Separable with a Small Polypus neath, and are OI aGBOwiNG ON AN Internal Pile. ^j^^j^j^ ^^^^^.^^j^ ^^j^^.
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. 24 RECTAL AlVn ANAL SURGERY. sundry projecting tabs and folds of skin which are stillcalled external piles, though no longer containing enlarged veins. Most of thetemjjorary piles form-ed by estravasatedclots are also in the. external Owing to thethe transhicency ofmucous membraneinternal hfemorrhoidsshow the color of theâ â distended veins be- FiG. 15. â Internal and External Piles nut Cleablt Separable with a Small Polypus neath, and are OI aGBOwiNG ON AN Internal Pile. ^j^^j^j^ ^^^^^.^^j^ ^^j^^.^ while external piles apjii-oach more to apink tint. When internal piles are foundprotruding, they generally present a rip-pled, irregular surface on account of thepresence of the reticulated ridges of thecolumns of Morgagni, and of the sacculiHorneri among them. External piles on *-the contrary if distended are smoother incontour. The difference is well shown inKg. l-t, page 23. The skin and mucous membrane cover-ing piles near the verge of the anus areexcessively sensitive, biit the mucous mem-brane covering the upper portion of in-ternal piles is nearly devoid of sensil)ility,a fact which should influence all our plans in operating. p^^ ^,. HiBmorrhoidal tumors have a remark- Pile formed by T , ,., i !â
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Keywords: ., bookcentury1800, bookdecade1880, booksub, booksubjectanusdiseases
