. Diseases of the rectum and anus: designed for students and practitioners of medicine. tion when properly done. The author recently operatedupon a woman who had 37 openings scattered over the buttocks,5 in the vulva, 3 in the vagina, and 3 in the rectum. All thesinuses were laid open and, in doing this, the sphincter-muscleswere divided at three points. At the end of three months thewounds had entirely healed and she retained perfect control overthe bowel. A surprising thing in complex fistulae is that, in pro- TREATMENT OF AXO-RECTAL FISTULA 263 portion to the number and extent of the incisi
. Diseases of the rectum and anus: designed for students and practitioners of medicine. tion when properly done. The author recently operatedupon a woman who had 37 openings scattered over the buttocks,5 in the vulva, 3 in the vagina, and 3 in the rectum. All thesinuses were laid open and, in doing this, the sphincter-muscleswere divided at three points. At the end of three months thewounds had entirely healed and she retained perfect control overthe bowel. A surprising thing in complex fistulae is that, in pro- TREATMENT OF AXO-RECTAL FISTULA 263 portion to the number and extent of the incisions, but a smahamount of scar-tissue remains after heaHng. Recto-vaginal Fistula has been the subject of much friendlydiscussion between the proctologist and the gynecologist, eachclaiming that it is a part of his work. It has been the customof the writer to treat all such cases applying to him for rehef,and he is wilHng to concede the same privilege to his gyneco-logic confreres. This form of fistula can sometimes be cured,especially when the opening is small, by keeping the rectum.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
