. Diseases of the rectum and anus: designed for students and practitioners of medicine. n, for in those daysanesthetics were not known. In many cases the surgeon will not be consulted until thepatient has an acute attack of piles, and then he will not bepermitted to resort to operative procedures until all non-surgicalmeasures have failed to give relief. Such measures at timesafford much relief and, in a few cases, a cure; but a longertime is required and the suffering is much greater than if anoperation had been performed in the beginning. This being thecase, and no other complications existi
. Diseases of the rectum and anus: designed for students and practitioners of medicine. n, for in those daysanesthetics were not known. In many cases the surgeon will not be consulted until thepatient has an acute attack of piles, and then he will not bepermitted to resort to operative procedures until all non-surgicalmeasures have failed to give relief. Such measures at timesafford much relief and, in a few cases, a cure; but a longertime is required and the suffering is much greater than if anoperation had been performed in the beginning. This being thecase, and no other complications existing, the patient should be 434 DISEASES OF THE RECTUM AND ANUS advised to undergo at once the trivial operation necessary for aradical cure, regardless of the condition of the piles. When it has been decided that an operation is necessary,the one best suited to the case under consideration should beselected. The author would state that he adheres exclusively tono particular operation, but always endeavors to select the onebest suited to the case at hand. Many operations have been de-. Fig. 139.—Clovers Crutch. vised for the removal or cure of internal hemorrhoids (piles). Inthis chapter, however, a detailed description of only those oper-ations which have been most widely practiced will be Preparation of the Patient for Operation is an importantpart of the surgical treatment. The general health shouldbe carefully looked into, and, if found below par, it mustbe corrected as far as possible. The urine should be ex-amined to detect the presence of any kidney or bladder com- TREATMENT OF INTERNAL HEMORRHOIDS 435 plication. If the patient is suffering from malaria, a few dosesof quinine is beneficial. It is unsafe to operate for hemor-rhoids upon persons in the last stages of phthisis, Brightsdisease, diabetes, or organic heart disease, especially where ageneral anesthetic is necessary. On the morning of the day preceding the operation aHberal dose of some reliable cathar
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
