. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. d. Dietfenbach claimed thirty cases permanently cured,but in his day the means of accurate diagnosis of carcinomadid not exist, and the correctness of his statistics is morethan doubted. Sarcoma of the Anus and Rectum.—The diagnosisfrom carcinoma must be made, if at all, by the microscope. 106 RECTAL AND ANAL SURGERY. Its early removal is as urgent as tliat of farciiionia, and itsprospect of success is much better. PalliativeOperations.—Malignant tu-mors are proneto block up theanus and pro-duce fi
. Rectal and anal surgery : with description of the secret methods of the itinerant specialists. d. Dietfenbach claimed thirty cases permanently cured,but in his day the means of accurate diagnosis of carcinomadid not exist, and the correctness of his statistics is morethan doubted. Sarcoma of the Anus and Rectum.—The diagnosisfrom carcinoma must be made, if at all, by the microscope. 106 RECTAL AND ANAL SURGERY. Its early removal is as urgent as tliat of farciiionia, and itsprospect of success is much better. PalliativeOperations.—Malignant tu-mors are proneto block up theanus and pro-duce first a stric-ture, and grad-ually a totalobstruction ;hence, in casestoo far gone toadmit of exci-sion, we mustcombat the oc-clusion. As thestricture comeson gradually, itcan usually beovercome by in-serting fromtime to time aconical rectalbougie, givingan anaesthetic ifnecessary. Thisruptures the ob-structing belt,, and gives re-newed ease eachtime. In somecases it is justi-fiable to scoop away some of the mass with the curette. Ifthe obstruction has become nearly complete and extends so. K^ Fio. Stkictube of the Rectum (Esmarch). MALIGNANT TUMORS OF THE ANUS AND RECTUM. 107 liigli that it cannot be locally mastpred, wp must resort to leftlumbar colotomy, which relieves the distress and obviatesthe immediate danger. In short, it enables the patient toevacuate the bowels in comfort as long as the disease inother parts permits him to live. As the disease progresses,anodynes may be used according to the necessity. Colotomy for Cancerous Occlusion of the Rectum. —Some writers have trietl to introduce the polyglot word Colostomy. so as to get in the Latin word os, a mouth,between the two Greek elements coJo and tomij, intendingapparently to express the idea of cutting the colon to makea mouth. Aside from the absurdity of calling an anus amouth, it is bad literary usage to mix two languages incoining a new compound term. The only way to make acorrect Greek derivat
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