. Diseases of the rectum and anus: designed for students and practitioners of medicine. ctum free and clean. Any ulcerationpresent can be made to heal by medicated solutions and topicapplications introduced through both the rectum and theopening in the groin (Fig. 118). The benefit at once becomesobvious. In case the ulceration and stricture are cured, theopening in the groin can be closed. The surgeon will rarelybe called upon to do this, because in many cases it is impossibleto cure the stricture, and, even when this has been accom- NON-MALIGNANT STRICTURE 375 pHshed, patients do not wish to
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ctum free and clean. Any ulcerationpresent can be made to heal by medicated solutions and topicapplications introduced through both the rectum and theopening in the groin (Fig. 118). The benefit at once becomesobvious. In case the ulceration and stricture are cured, theopening in the groin can be closed. The surgeon will rarelybe called upon to do this, because in many cases it is impossibleto cure the stricture, and, even when this has been accom- NON-MALIGNANT STRICTURE 375 pHshed, patients do not wish to take any chances of having togo through their former suffering. Most of them go abouttheir ordinary duties wearing a truss similar to that worn forhernia, and say that the artificial anus causes them very littleannoyance. The manner of performing colostomy is discussedby the writer in another chapter. Proctoplasty. —? This operation is suited to comparativelyfew cases of stricture of the rectum because of the ulcerationand indurated condition of the parts in aggravated cases of. Fig. 118.—Showing Applicator Tassing Through Left Inguinal ColostomyOpening and Out at the Anus to Show the Direct Line Between thesePoints and also the Method of Making Topic Applications to the Rectumfrom Above. Stricture. The writer has resorted to proctoplasty in threecases, with the following results: In one no improvement wasperceptible; in the second the lumen of the bowel at the siteof the constriction was materially enlarged and the patient toa great degree relieved; in the third, because of the thickenedcondition of the bowel-wall, it was difficult to close the incision,and there was so much tension upon the sutures they cut out,the wound became infected, and an abscess resulted which lefta sinus extending from the rectum to the region of the coccyx, 376 DISEASES OF THE RECTUM AND ANUS requiring a second operation. The symptoms for the reHef ofwhich the original operation was made were no
Size: 1598px × 1564px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
