. American practice of surgery ; a complete system of the science and art of surgery . ^ reheved by stretching the sphincter, whereas thosewhich belong to the latter require more radical operative measures. Strangu-lation can occur only in internal and mixed hemorrhoids; no attempt should bemade to replace any but the former or the internal portion of mixed hemor-rhoids. Even when the strangulation and obstruction have resulted in slough-ing and threatened gangrene, one should not hesitate promptly to excise thehemorrhoids—better by the thenno-cautery or electro-cautery knife, on account 864 A
. American practice of surgery ; a complete system of the science and art of surgery . ^ reheved by stretching the sphincter, whereas thosewhich belong to the latter require more radical operative measures. Strangu-lation can occur only in internal and mixed hemorrhoids; no attempt should bemade to replace any but the former or the internal portion of mixed hemor-rhoids. Even when the strangulation and obstruction have resulted in slough-ing and threatened gangrene, one should not hesitate promptly to excise thehemorrhoids—better by the thenno-cautery or electro-cautery knife, on account 864 AMERICAN PRACTICE OF Fig. 346.—Mixed Hemorrhoids.(Earle and Tuttle.) of the septic conditions. The operation is attended with less risk than onewould expect from tlie sloughing and gangrene. Mixed Hemorrhoids.—In mixed hemorrhoids (Fig. 346) we have a com-bination of external and internal hemorrhoids in the same subject, and at thesame time there is a breaking down of the partition line or line of demarcationbetween the two (viz., Hiltons white line), together with the establishmentof free anastomosis between their respective circulations. The descriptions already given of the two pre-vious varieties will suffice for this one. Treatment of Internal and Mixed Hemor-rhoids.—In the treatment of these two varietiesof hemorrhoids one may adopt either palliative orcurative measures. Palliative Treatment.—Now that hemorrhoidscan be operated upon with so nuich safety, withsuch brief detention from business, and even withthe aid of only local ana3sthesia, there would seemto be little need for palliative tr
Size: 1311px × 1905px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
