. Confederate States medical & surgical journal . ve beenraaorted to in some of the cases in which the morp formidable anddangerous operation was employed. M. Salmons Operation for Hemorrhoids.—This operation ia in-tended to combine the advantages of excision and ligature, and toavoid the positive objections to both. It consists of a separationof the hsetnorrhoidal tumour from the subjacent parts for about thelower thr/j-fourths of its extent, leaving it attached by the remain-ing upper-fourth, which is then included in a ligature. The tu-mours are drawn down by means of a hook with four prong
. Confederate States medical & surgical journal . ve beenraaorted to in some of the cases in which the morp formidable anddangerous operation was employed. M. Salmons Operation for Hemorrhoids.—This operation ia in-tended to combine the advantages of excision and ligature, and toavoid the positive objections to both. It consists of a separationof the hsetnorrhoidal tumour from the subjacent parts for about thelower thr/j-fourths of its extent, leaving it attached by the remain-ing upper-fourth, which is then included in a ligature. The tu-mours are drawn down by means of a hook with four prongs, con-trived for the purpose, and the division of the lower part of themis made with scissors. These structures are always supplied with ves-sels which descend from above, close beneath the mucous , and the trunks being necessarily included when the upperpart of the tumour is tied, all danger of bleeding from the dividedbranches is avoided. By this proceeding, the smallest possible CONFEDERATE STATES MEDICAL AND SURGICAL JOURNAL. 149. amount of tissue is included in the ligature, and whaj ii includedis as far as possible removed from the anus. This latter circum-stance is believed to be a great advantage, for the membrane aninch within the anus possesses little of that acute sensibility whichcharacterizes the integument close to that aperture. In Mr, Sal-mon* s operation, the subsequent pain and irritation are very muchlessened, and in evidence of this it is rarely found to extend so faras to involve the urinary organs : whereas, retention of urine, ac-cording to experience, is the rule, rather than the exception, afterthe ordinary operation with the ligature. Strychnine in Prolapsus Ani,—M. Foucher, surgeon to the Found-ling Hospital, has lately made public the results he has obtainedby means of subcutaneous injections of sulphate of strychnia in theprolapsus ani of children. This not uncommon affection is fre-quently found to be very obstinate, and to resist for
Size: 1951px × 1281px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1860, bookidconfederates, bookyear1864
