. Diseases of the rectum and anus: designed for students and practitioners of medicine. om one side, then the other, and finally fromthe end of the bone, keeping the scissors pointing outward. 4. W^ithout changing the position of the finger, place the 358 DISEASES OF THE RECTUM AND ANUS scissors at a right angle as to the os coccyx- (Fig. 49) and dis-articulate or divide it, as the case requires. 5. Close the wound with two or three interrupted catgutsutures, and dress it with sterile gauze held in place by adhe-sive straps. The author has performed this operation for the relief ofpathologic c
. Diseases of the rectum and anus: designed for students and practitioners of medicine. om one side, then the other, and finally fromthe end of the bone, keeping the scissors pointing outward. 4. W^ithout changing the position of the finger, place the 358 DISEASES OF THE RECTUM AND ANUS scissors at a right angle as to the os coccyx- (Fig. 49) and dis-articulate or divide it, as the case requires. 5. Close the wound with two or three interrupted catgutsutures, and dress it with sterile gauze held in place by adhe-sive straps. The author has performed this operation for the relief ofpathologic conditions of the coccyx 35 times without an unpleas-ant complication or sequel except in 3 cases. In 1 a fistula re-mained after the operation and refused to heal under local treat-ment. Finally a portion of a silk-worm-gut suture was dis-charged, and the patient promptly recovered. In another, wherethe wound was dressed with iodoform gauze, a dermatitis ensued,which was followed by sloughing of the tissues over the end ofthe sacrum until the bone was bare. It required six months to. Fig. 48.—Gants Coccygeal Scissors. They Are Very Strong, and Cut bkin,Muscles, Tendons, and Bone Equally WelL heal the wound; during this time the patient suffered the third case plain catgut was used; on the fourth day thepatient went to the closet without permission, and while theretore the wound open, thus delaying his recovery several , when proper aseptic precautions have not beenobserved, stitch abscesses occur. The author has used wire, silk,,silk-worm gut, chromicized and plain catgut for closing thewounds after this operation, and he very much prefers the advantages claimed for this method of excising the coccyxare that it is bloodless, painless, can be performed quickly (infrom two to three minutes), and with two instruments (scissorsand needle) ; primary union can be obtained along the entire cutbecause drainage is not necessary; unpleasant sequ
Size: 2766px × 903px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
