. Diseases of the rectum and anus: designed for students and practitioners of medicine. ure. Pessaries and trusses of various sizes and shapes, supported PROLAPSE 393 by a suspensory bandage (Figs. 12Y and 128), have been de-vised to retain the bowel in its proper position. Such appH-ances are uncomfortable, and are soon discarded, because theydo not accomplish what is expected of them. Dr. Seneca D. Powell, of the New York Post-graduateMedical School and Hospital, has had good success in treatingprolapse in children by holding the buttocks together with adhesivestrips, which are kept on until
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ure. Pessaries and trusses of various sizes and shapes, supported PROLAPSE 393 by a suspensory bandage (Figs. 12Y and 128), have been de-vised to retain the bowel in its proper position. Such appH-ances are uncomfortable, and are soon discarded, because theydo not accomplish what is expected of them. Dr. Seneca D. Powell, of the New York Post-graduateMedical School and Hospital, has had good success in treatingprolapse in children by holding the buttocks together with adhesivestrips, which are kept on until after defecation. After stool theparts are cleansed and the straps readjusted. This form ofdressing elevates and supports the sphincter and preventslateral traction during defecation in the squatting position,eventually restoring tonicity to the sphincter and involvedmuscles. SURGICAL TREATMENT It is gratifying to know that, when all non-operative meas-ures have failed, surgical procedures can be resorted to with theassurance that they will prove effective in the majority of Fig. 128.—Rectal Plug. In cases of acute obstruction due to invagination of thecolon or sigmoid, which palliative measures have failed to re-lieve, the abdomen should be opened immediately, the invag-ination reduced, and a portion of the gut resected if (Jr.), Sands, Bryant, Hutchinson, and Manse werethe first surgeons to resort to laparotomy for the relief of thiscondition. The operations devised for the relief of procidentia rectiare numerous, but only those will be described which have beentried with success. Any operation to be successful must accomplish the fol-lowing objects:— 1. Produce sufficient inflammation to cause an adhesion be-tween the rectal coats so that one will not slip over the other. 2. Remove redundant tissue in order that the caliber of thebowel may be narrozved. 394 DISEASES OF THE RECTUM AND ANUS 3. Reduce the size of the anal aperture. Minor Operatio
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
