The surgical diseases of children . but in the case ofpolypus it is in a conditionof habitual and spasmodic con-traction, so that before makinga digital exploration an anses-thetic should be every case of bleeding fromthe rectum, methodical searchshould be made for polypus ;it is so movable on its slenderstalk that it may be taken fora fsecal nodule. Treatment will consist in dilating the anus,pulling down the polypus and tying its pedicle tightlywith a strong waxed ligature. Unless quite small itis not advisable to tear it off with the finger nail whenthe bowel is being explor
The surgical diseases of children . but in the case ofpolypus it is in a conditionof habitual and spasmodic con-traction, so that before makinga digital exploration an anses-thetic should be every case of bleeding fromthe rectum, methodical searchshould be made for polypus ;it is so movable on its slenderstalk that it may be taken fora fsecal nodule. Treatment will consist in dilating the anus,pulling down the polypus and tying its pedicle tightlywith a strong waxed ligature. Unless quite small itis not advisable to tear it off with the finger nail whenthe bowel is being explored, as troublesome haemor-rhage may arise from its artery. Anal abscess.—Suppuration is usually super-ficial, and begins in gland tissue about the externalsphincter. Though the neighbouring parts may bered and angry, they soon quiet down after the pus hasescaped, and the short fistulous track closes up withoutfurther trouble. This simple condition is altogetherdifferent from that of Ischio-rectal abscess, which may arise without. Fig. 47.—Eectal Poljpus. 314 The Surgical Diseases of Children. definite reason, or may be caused by a piece of bonewhich has been swallowed and passed through the wallof the bowel. The sooner that the tension of theinflamed tissues is relieved the better ; one must notwait for fluctuation, but with a finger in the bowel asa guide, the knife is thrust deeply ? into the results, for which the ordinaryoperation will be eventually required; the parts shouldhave quieted down before the external sphincter isdivided. In connection with the treatment of fistula-in-ano, certain cautions may be given. It must beascertained that the sinus is not associated withchronic bone disease. Spinal abscess occasionally findsits outlet through the ischio-rectal fossa (page 237),in which case a probe may pass an indefinite distanceinto the interior of the pelvis. Or a soft flexiblebougie may be directed towards the carious skin looks dus
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
