. Clinical gyncology, medical and surgical. of the patient is bad. When a numberof Hstulre are opened about the anus, it is desirable that they should not becut through, even if suturing is done, as failure to unite would result in 892 DISEASES OF THE RECTUM A>~D ANUS. loss of power of the sphincter. The preferable plan in such cases would bethe incision of the sinus up to the sphincter, careful curettage of the remain-ing portion of the canal, and packing the cavity with iodoform gauze. Thisplan of procedure has resulted, in the hands of the writer, iu the cure ofextensive fistulae without
. Clinical gyncology, medical and surgical. of the patient is bad. When a numberof Hstulre are opened about the anus, it is desirable that they should not becut through, even if suturing is done, as failure to unite would result in 892 DISEASES OF THE RECTUM A>~D ANUS. loss of power of the sphincter. The preferable plan in such cases would bethe incision of the sinus up to the sphincter, careful curettage of the remain-ing portion of the canal, and packing the cavity with iodoform gauze. Thisplan of procedure has resulted, in the hands of the writer, iu the cure ofextensive fistulae without influencing the subsequent action of the is important at the same time that the general health of the patientshould be improved, and for this purpose cod-liver oil, creosote, phosphateof lime, iodide of potassium, and various tonics may be employed. RECTO-VAGIXAE FISTULA. A recto-vaginal fistula is one which connects the rectum and the sinus may be situated in any part of the septum. In women who Fig. 3. Fig. 2. _s.
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