Gynecology . Fig. 417.—Whiteheads Operation for ring of hemorrhoids has been dissected off. The-mucous membrane of the rectum is beingsewed to the circular wound edge of the skin. It is convenient to place four sutures first as in thedrawing. If the skin is redundant at any point a wedge-shaped piece may be cut from the this way the wound edge of the skin may be made to fit exactly that of the mucous membrane. the artery supplying the hemorrhoid, the portion of the pile projecting abovethe plane of the clamp is burned off with the actual cautery kept at a moderatedull-r
Gynecology . Fig. 417.—Whiteheads Operation for ring of hemorrhoids has been dissected off. The-mucous membrane of the rectum is beingsewed to the circular wound edge of the skin. It is convenient to place four sutures first as in thedrawing. If the skin is redundant at any point a wedge-shaped piece may be cut from the this way the wound edge of the skin may be made to fit exactly that of the mucous membrane. the artery supplying the hemorrhoid, the portion of the pile projecting abovethe plane of the clamp is burned off with the actual cautery kept at a moderatedull-red heat. In this way the principal hemorrhoids are removed. There ismore danger from postoperative hemorrhage after this operation than from theother two methods described. The after-treatment should be the same and aslong continued after this operation as after the others. 712 GYNECOLOGY FISTULA IN ANO The surgical treatment of fistula in ano consists either of incision of thetract and open treatment of th
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