. The principles and practice of surgery. ra or mortisein the opposite blade. There is,also, a shoulder projecting on eachside of the blades for the purposeof crushing more perfectly thetissues. This instrument does not,like the ecraseur of Chassaignac,completely sever the parts towhich it is applied, but onlycrushes them, leaving a small pe-dicle, to which Dr. Nott advises,as a matter of prudence, in thecase of internal piles, the appli-cation of a ligature. The vital-ity of the tissues being destroyedby the ecraseur, the ligaturecauses no pain. Some yearssince Dr. Isaac E. Taylor, ofBellevue
. The principles and practice of surgery. ra or mortisein the opposite blade. There is,also, a shoulder projecting on eachside of the blades for the purposeof crushing more perfectly thetissues. This instrument does not,like the ecraseur of Chassaignac,completely sever the parts towhich it is applied, but onlycrushes them, leaving a small pe-dicle, to which Dr. Nott advises,as a matter of prudence, in thecase of internal piles, the appli-cation of a ligature. The vital-ity of the tissues being destroyedby the ecraseur, the ligaturecauses no pain. Some yearssince Dr. Isaac E. Taylor, ofBellevue Hospital, devised a verysimilar instrument for the re-moval of intra-uterine can be no doubt that eitherof these instruments, and espe-cially that of Dr. Nott, which islighter and better suited to the treatment of the malady in question,ought to be preferred to the ecraseur of Chassaignac. Ligature.—The ligature alone has endured the test of time and ex-perience. Employed from an early day by the most judicious surgeons,. Notts Rectilinear Ecraseur. 788 HEMORRHOIDS. it continues to furnish testimony of its safety, simplicity, and to this moment, although I have used the ligature in some form agreat many times, no troublesome bleeding has ever followed, and, withone exception, no accidents of any kind have ever given me cause foranxiety or alarm. The exception to which reference is made was in the person of a manat Bellevue Hospital, in which case a chill occurred on the second or thirdday after the operation, followed by delirium and some coma. Hisskin became icterode, and the bowels tympanitic. The precise charac-ter of the secondary lesion was never determined, although pyaemiawas suspected, but he made a complete recovery after a few weeks ill-ness. It was subsequently ascertained that the man was very intemper-ate, and that he came into the hospital just after a debauch. To thesecircumstances, less than to the operation, it seemed proper to attr
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