. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 156.—Pollocks Hemorrhoidal Crusher. unreliability of the batteries. Furthermore, he cannot see thatit possesses any advantage over the Paquelin or actual Divulsion of the sphincter-muscles for the cure ofinternal piles is highly spoken of by eminent French surgeons,such as Verneuil, Gosselin, Fontan, and many others. Theoperation is performed by inserting the two tliumbs withinthe anus and gradually overpowering the sphincter by gentleand constant pressure in every direction (Fig. 140)
. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 156.—Pollocks Hemorrhoidal Crusher. unreliability of the batteries. Furthermore, he cannot see thatit possesses any advantage over the Paquelin or actual Divulsion of the sphincter-muscles for the cure ofinternal piles is highly spoken of by eminent French surgeons,such as Verneuil, Gosselin, Fontan, and many others. Theoperation is performed by inserting the two tliumbs withinthe anus and gradually overpowering the sphincter by gentleand constant pressure in every direction (Fig. 140). At the. Fig. 157.—Herbert Allinghams Pile-crusher. same time care must be observed to avoid lacerating the mu-cous membrane or the muscles. Unless the patient absolutelyrefuses, it is best to do this under general anesthesia. Divul-sion can be accomplished, however, by the use of rubber bou-gies, but this method causes more annoyance, requires a longertime, and the results are not so good. The ooeration of dilatation has not proven satisfactory in TREATMENT OF INTERNAL HEMORRHOIDS 465 the authors hands, except in cases in which the timiors weresmall and the sphincters tight. In such cases, as well as thosecomplicated with an irritable ulcer or fissure which inducesgreat suffering, we have relieved patients by this simple pro-cedure. Two days after the operation the sphincters are capableof acting, but the spasm is gone. The bowel acts freely, andthe only indication that the operation has been performed isa slight extravasation of blood about the anus. It never de-tains the patient from busi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
