. Diseases of the rectum and anus: designed for students and practitioners of medicine. \. Fig. 87.—Complex Horseshoe FistulaBefore Operation. Fig. 88.—Appearance of Wound AfterOperation, the Sphincter-muscle beingCut but Once. tissue and freshen both ends of the sinus; (c) free the anteriorrectal wall to three-fourths of an inch ( centimeters) abovethe fistula and laterally for half an inch ( centimeters); (d)if there is a stricture, correct it by perineal section; (e) takeflap from either side of the urethra to replace the part de-stroyed, and unite them with catgut over a sound;

---

. Diseases of the rectum and anus: designed for students and practitioners of medicine. \. Fig. 87.—Complex Horseshoe FistulaBefore Operation. Fig. 88.—Appearance of Wound AfterOperation, the Sphincter-muscle beingCut but Once. tissue and freshen both ends of the sinus; (c) free the anteriorrectal wall to three-fourths of an inch ( centimeters) abovethe fistula and laterally for half an inch ( centimeters); (d)if there is a stricture, correct it by perineal section; (e) takeflap from either side of the urethra to replace the part de-stroyed, and unite them with catgut over a sound; (f) with-draw the sound and leave the perineal wound and anteriorurethral incision unsutured; (g) close the edges of the bowel-wound with chromicized catgut; (h) place a drainage-tube inthe rectum and pack iodoform gauze around it; (i) leave a TREATMENT OF ANORECTAL FISTULA 267 <:atheter in the bladder; (j) pack the perineal wound with ab-sorbent cotton and hold it in position with a T-bandage. In cases where the opening is large and a considerableamount of feces escapes into the ur

---

Size: 1379px × 1812px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910