. A reference hand-book of gynecology for nurses . , bullet-pointedgrooved director; 9, fistula probe. Dressings.—Apply a thick pad of sterile gauzeover the packing and hold in place by a T-bandage. After-care.—Catheterize every eight hours ifrequired. Change the outer dressings whensoiled. The packing is removed after twenty-four hours, when the wound is irrigated andrepacked. Diet.—Liquid and semiliquid for the first week,full tray after the seventh day. Bowels.—Give a half-ounce of castor oil on thefifth day, follow by a soap-suds enema. The Clamp and Cautery Operation forHemorrhoids.—Steps
. A reference hand-book of gynecology for nurses . , bullet-pointedgrooved director; 9, fistula probe. Dressings.—Apply a thick pad of sterile gauzeover the packing and hold in place by a T-bandage. After-care.—Catheterize every eight hours ifrequired. Change the outer dressings whensoiled. The packing is removed after twenty-four hours, when the wound is irrigated andrepacked. Diet.—Liquid and semiliquid for the first week,full tray after the seventh day. Bowels.—Give a half-ounce of castor oil on thefifth day, follow by a soap-suds enema. The Clamp and Cautery Operation forHemorrhoids.—Steps in the Operation.—The z 146 GYNECOLOGY FOR NURSES sphincter is dilated and the hemorrhoids exposed;a single hemorrhoid is grasped by pile forceps andthe junction of skin and mucous membrane at itsbase is incised, the clamp is adjusted and screwedtight, the pile is cut off with scissors, and its baseseared with the Paquelin cautery; the clamp isremoved, bleeding vessels tied, if necessary, andthe stump is dropped back into the Fig. 69.—Instruments required for the clamp andcautery operation for hemorrhoids: 1, Conic rectal dilator;2, pile clamp; 3, hemostats; 4, pile forceps; 5, curved scissors;6, Paquelin caute y. Instruments required (Fig. 69): Conic rectal dilator. Pile forceps. Curved, sharp-pointed scissors. Pile clamp. Paquelin cautery. Hemostats. Catgut No. 1. Dressings.—Press a wedge-shaped compressof sterile gauze against the anus and hold in placeby a T-bandage. After-care.—The pain during the first thirty-six hours is relieved by morphin. Give liquid and semiliquid diet during the firstweek. THE RECTUM AND ITS DISEASES 147 Give a laxative, e. four ounces of Hunyadiwater, on the fourth day after operation, and asoap-suds enema when there is desire for a move-ment. Repeat this daily for four days. Bathe the anus with very hot water every morn-ing and evening. Keep the patient in bed one week. Ischiorectal Abscess.—Description of Opera-t
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