The practice of surgery . Fig. 37.—Form-s of fistulse (schematic). with soap and water. He must be anesthetized, but a preliminarystretching of the sphincter, as sometimes is proposed, is not usual operation consists in passing a probe or director into thedepths of the fistula, or through it, if it is complete, and a thoroughlaying open of the tract, followed by cureting or cauterizing and packingwith iodoform gauze. It is sometimes difficult to discover the openingof a blind internal fistula. One may have to dilate the sphincter withthe fingers or pass the proctoscope. Insert a
The practice of surgery . Fig. 37.—Form-s of fistulse (schematic). with soap and water. He must be anesthetized, but a preliminarystretching of the sphincter, as sometimes is proposed, is not usual operation consists in passing a probe or director into thedepths of the fistula, or through it, if it is complete, and a thoroughlaying open of the tract, followed by cureting or cauterizing and packingwith iodoform gauze. It is sometimes difficult to discover the openingof a blind internal fistula. One may have to dilate the sphincter withthe fingers or pass the proctoscope. Insert a bent probe into the , and pass it to the bottom of the fistula; then lay open thetract with a knife. A majority of all fistulse leave the external sphinc-ter uninvolved, but if this muscle is penetrated or involved by thefistula, it must be cut across. The cut sphincter recovers its normal HEMORRHOIDS 99 function (almost always), especially if it be cleanly divided in one placeonly, and if that place be
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
