. Diseases of the rectum and anus: designed for students and practitioners of medicine. about applying the same principleto the rectum. Bodenhamer, Van Buren, Allingham (Sr.),Cooper, and Otis were the pioneers in this work. In recentyears Kelly, Martin, Law, Pennington, Tuttle, and Beach havedone good work in popularizing this method of examination, 46 DISEASES OF THE RECTUM AND ANUS and have devised proctoscopes and colonoscopes (Figs. 19to 25) of practical utility. Bodenhamer was the first to devisean instrument of this type, called the redo-colonic endoscope(Fig. 24), through which the rect
. Diseases of the rectum and anus: designed for students and practitioners of medicine. about applying the same principleto the rectum. Bodenhamer, Van Buren, Allingham (Sr.),Cooper, and Otis were the pioneers in this work. In recentyears Kelly, Martin, Law, Pennington, Tuttle, and Beach havedone good work in popularizing this method of examination, 46 DISEASES OF THE RECTUM AND ANUS and have devised proctoscopes and colonoscopes (Figs. 19to 25) of practical utility. Bodenhamer was the first to devisean instrument of this type, called the redo-colonic endoscope(Fig. 24), through which the rectum and sigmoid could be ex-amined by the aid of reflected light. It is described and illus-trated in his most excellent little book: The Physical Ex-ploration of the Rectum, published in 1870. The ends of the Laws, Pennington, and Beach procto-scopes are closed with glass caps through which the operatorlooks while the rectum is kept inflated by means of a tube andrubber bulb. Tuttles proctoscope differs from the instrumentsjust described in that the electric lamp when soiled must be. Fig. U.—Little Wonder Electric Light in Position. withdrawn in order to cleanse it; he uses a plug containinga magnifying glass to close his proctoscope, and this, he claims,blows out under strong pressure and thereby eliminates thedanger of rupturing the bowel. The author is of the opinionthat instruments of this type will not come into general use,for the reason that a closed tube is not necessary to accomplishinflation of the rectum, they are expensive, and, further, be-cause a film of condensed moisture sometimes forms on theglass and obstructs the view. Tuttle has also modified the Kelly tube so that the ob-turator gives to its end a Mercier curve, which is supposed tolessen the difficulty in rounding the sacral promontory and EXAMINATION 47 entering the sigmoid. The Martin proctoscope (Fig. 25) ismade in two sizes (examining and operating) and of differentlengths. Proctoscopes and colon-tub
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
