. The practice of pediatrics. Prolapse of rectum andanus. 258 THE PRACTICE OF PEDIATRICS raised the question whether there was not sufficient strangulation,even if reduced, to cause death. Hot applications were placed uponthe gut, and it was gradually reduced, but prolapse immediately order to keep the gut in position a long rubber tube of large caliber wasinserted into the rectum and passed into the gut as high as possible. The. Fig. 22.—Involution of the rectum, sigmoid, and a portion of the descending colon. rectum was then sewed tightly around the tube, anchoring the rectal out
. The practice of pediatrics. Prolapse of rectum andanus. 258 THE PRACTICE OF PEDIATRICS raised the question whether there was not sufficient strangulation,even if reduced, to cause death. Hot applications were placed uponthe gut, and it was gradually reduced, but prolapse immediately order to keep the gut in position a long rubber tube of large caliber wasinserted into the rectum and passed into the gut as high as possible. The. Fig. 22.—Involution of the rectum, sigmoid, and a portion of the descending colon. rectum was then sewed tightly around the tube, anchoring the rectal out-let to the tube by a double purse-string of strong silk. The bowels movedthrough the tube, and for days there was great improvement. The useof the long tube held up the gut. Later the child died of pneumonia, butit was possible to remove the tube and then prolapse did not take place. FISSURE OF THE ANUS 259 INFLAMMATION OF THE ANUS An acute painful inflammation of the anus and of the skin surround-ing it is frequently seen in children after a diarrhea of some days dura-tion. It is also seen in weakly, delicate children without any markedintestinal disturbance. The inflammation produces considerable dis-tress during the passage of a stool, and is conducive to constipation,because the child soon dreads to have a bowel movement and tries toavoid it. Treatment.—The childs nutrition and management in generalmust first be carefully lo
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
