. Diseases of the rectum and anus: designed for students and practitioners of medicine. tumor-base, and (b)into the connective tissue composing the tumor. 5. Clampingthe pile. 6. Cutting away the pile. 7. Intermittent applica-tions of Paquelins cautery to the pedicle. 8. (a) Releasingthe pedicle and fb) withdrawal of the clamp. Because of its peculiar form the clamp effectually blocksthe field of operation against the accidental invasion of thefeces or other intestinal detritus. Three-fourths of the quan-tity of the cocaine solution used is recovered with the removal TREATMENT OF INTERNAL HEMO


. Diseases of the rectum and anus: designed for students and practitioners of medicine. tumor-base, and (b)into the connective tissue composing the tumor. 5. Clampingthe pile. 6. Cutting away the pile. 7. Intermittent applica-tions of Paquelins cautery to the pedicle. 8. (a) Releasingthe pedicle and fb) withdrawal of the clamp. Because of its peculiar form the clamp effectually blocksthe field of operation against the accidental invasion of thefeces or other intestinal detritus. Three-fourths of the quan-tity of the cocaine solution used is recovered with the removal TREATMENT OF INTERNAL HEMORRHOIDS 445 of the tumor; hence the amount of cocaine which may enterinto the patients circulation is infinitesimal and Ligature Operation has stood the test of time since hun-dreds of years before the nativity of Christ. It comes downto us recommended by such of the ancients as Hippocrates,Celsus, and Rhazes the noted Arabic physician of the tenthcentury, and many others. The majority of authors in lateryears, and up to the present day, commend it as being one of. Fig. 150.—Mathewss Pile-forceps. the best operation for the cure of hemorrhoids. For instance,it is indorsed by Sir Astley Cooper, Burke, Cripps, Van Buren,Bodenhamer, Syme, Allingham, Mathews, and others. Thereis no question as to the pre-eminence of this operation forordinary cases of piles, with one exception, namely: the clampand cautery. The results which have followed these two opera-tions have proven that both are deserving of the highest praiseand consideration. The reader may choose the one he canperform with the most satisfactory results, with the assurancethat a radical cure will be effected.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910