. Diseases of the rectum and anus: designed for students and practitioners of medicine. hus preventing their entrance to the bladder andurethra and obviating the suffering. Recto-vesical fistula can be cured occasionally by irriga- TREATMENT OF ANORECTAL FISTULA 265 tion of both bladder and rectum, cauterization, regulating thestools, keeping a tube in the rectum to prevent an accumula-tion of gases, and by retaining a catheter in the bladder throughwhich the urine may escape. When palliative measures havebeen tried in vain, a plastic operation is indicated, especiallywhere the opening is larg
. Diseases of the rectum and anus: designed for students and practitioners of medicine. hus preventing their entrance to the bladder andurethra and obviating the suffering. Recto-vesical fistula can be cured occasionally by irriga- TREATMENT OF ANORECTAL FISTULA 265 tion of both bladder and rectum, cauterization, regulating thestools, keeping a tube in the rectum to prevent an accumula-tion of gases, and by retaining a catheter in the bladder throughwhich the urine may escape. When palliative measures havebeen tried in vain, a plastic operation is indicated, especiallywhere the opening is large. There are several steps in the operation, and they are asfollows: (a) thoroughly divulse the sphincter; (b) expose therectal end of the sinus by means of a long-bladed operatingspeculum; (c) trim the edges of the opening; (d) close thewound by deep silver or chromicized catgut sutures, includingall the rectal and vesical coats except the mucosa of the latter;(e) place a catheter in the bladder and a tube in the and Miles advise placing the sutures one-eighth of an. Fig. 85.—Simple Horseshoe FistulaBefore Operation.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
