Gynecology . the wound edges smooth and even and not to carry the dissection too far out on the skin. Clamp and Cautery.—In our practice the clamp and cautery method oftreating hemorrhoids has. been given up in favor of dissection and ligature,because of the greater frequency of postoperative fissure and of the higher per-centage of recurrence in the former method. The operation is as follows: Dilatation of the sphincter, with the patient inthe perineal position. The most conspicuous hemorrhoid is seized by an artery OPERATIONS ON THE RECTUM 711 forceps at its most salient point and lifted up.
Gynecology . the wound edges smooth and even and not to carry the dissection too far out on the skin. Clamp and Cautery.—In our practice the clamp and cautery method oftreating hemorrhoids has. been given up in favor of dissection and ligature,because of the greater frequency of postoperative fissure and of the higher per-centage of recurrence in the former method. The operation is as follows: Dilatation of the sphincter, with the patient inthe perineal position. The most conspicuous hemorrhoid is seized by an artery OPERATIONS ON THE RECTUM 711 forceps at its most salient point and lifted up. A special crushing-clamp isthen applied including the entire pile, but not implicating the skin or mucousmembrane of the bowel. It is of much importance that the clamp be adjustedto the pile in such a way that it has a radial direction with reference to the cir-cumference of the anus. This is to insure the approximation of the woundedges. When the clamp has been properly adjusted and applied so as to crush.
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
