. Diseases of the rectum and anus: designed for students and practitioners of medicine. emorrhage may follow. For the same reason therectum should not be irrigated nor any instrument introducedafter the operation has been completed. The object of makingthe muco-cutaneous incision is to allow the skin to retract andto exclude it from the cauterization. If the cauterization isconfined to the mucosa exclusively, as it should be,, and if no 440 DISEASES OF THE RECTUM AND ANUS dressing, packing, or tubes of any kind are placed in the rectum,there will be comparatively little, if any, after-pain and
. Diseases of the rectum and anus: designed for students and practitioners of medicine. emorrhage may follow. For the same reason therectum should not be irrigated nor any instrument introducedafter the operation has been completed. The object of makingthe muco-cutaneous incision is to allow the skin to retract andto exclude it from the cauterization. If the cauterization isconfined to the mucosa exclusively, as it should be,, and if no 440 DISEASES OF THE RECTUM AND ANUS dressing, packing, or tubes of any kind are placed in the rectum,there will be comparatively little, if any, after-pain and noappreciable contraction following the operation; on the otherhand, if the operator, through ignorance or carelessness, burnsthe skin about the anus, the after-pain will be most intense, andstricture may follow healing of the wounds. The authorsaves his patients much suffering by not plugging the bowelwith dressing, as is usually done; he has found that such a pro-cedure is unnecessary, causes increasing pain by exertingpressure upon the ulcers, excites the levator ani to frequent. Fig. 145.—Cauterizing the Stump. contraction, and causes great pain when removed, owing toentanglement of the granulations in the meshes of the author has performed the clamp-and-cautery opera-tion hundreds of times and has never lost a patient from hem-orrhage, nor has he seen a case of stricture produced by has, in a few instances, known a profuse hemorrhage tofollow the operation where some bleeding-point was not cau-terized, and he has also seen the same accident follow the liga-ture operation where the knot was improperly tied or the endscut too short. TREATMENT OF INTERNAL HEMORRHOIDS 441 In the authors opinion, when general anesthesia is employed,the clamp-and-cautery operation should take precedence over theligature method because it (a) is equally as radical, (h) can beperformed as easily and quickly, (c) is no more likely to be fol-lowed by hemorrhage or stricture, (d) v
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
