. Diseases of the rectum and anus: designed for students and practitioners of medicine. suitable length is now intro-duced, and the rectum allowed to become inflated, exposing thevalves. The proctoscope is so adjusted that the valve tobe divided crosses in front of it at a right angle. A clampto which a long thread has been attached is placed in theapplicator and the screw so adjusted that it remains open. Theinstrument is then introduced through the proctoscope and theclamp slipped over the valve, when the screw in the end ofthe applicator is turned to the left until the clamp closes onthe va
. Diseases of the rectum and anus: designed for students and practitioners of medicine. suitable length is now intro-duced, and the rectum allowed to become inflated, exposing thevalves. The proctoscope is so adjusted that the valve tobe divided crosses in front of it at a right angle. A clampto which a long thread has been attached is placed in theapplicator and the screw so adjusted that it remains open. Theinstrument is then introduced through the proctoscope and theclamp slipped over the valve, when the screw in the end ofthe applicator is turned to the left until the clamp closes onthe valve and is freed. (Plate X.) The proctoscope is nowremoved and the string left hanging out of the rectum to pre-vent the clamp being carried upward by reverse peristalsis whenit has cut is way out. The entire operation may be completedin five minutes. Depending upon the amount of fibrous tissue,it requires from four to six days to slough out, during whichtime the patient suffers but little, if any, pain. Usually thewriter requires the patient to remain quiet until the clamp PLMTE X. Gants DpBration af I/alvatamy, showing Mannsr of Using his Now ForcepsRpplicatar and UaluE-clamps. One Clamp is in Position and /InathsrPlaced Dver a UalvB Ready to be Freed from the Upphcatar. CONSTIPATION 105 comes away. Not infrequently, however, the operation hasbeen done in his oi^ce and the patient allowed to resume hisusual duties, and no ill effects were observed. The patient isrestricted to a semisolid diet, and instructed to examine thestools until the clamp is found. After the clamp has comeaway, examination of the rectum will reveal that the valvenow stands out less prominently, and is divided by a rounded,V-shaped wound. The after-treatment consists in securingdaily semisolid stools and irrigation of the wound with anti-septic solutions. The advantages of the clamp over the cutting operationare as follows:— 1. No anesthetic is required. 2. It is bloodless. 3. It is painless. 4. It is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
