. Modern surgery, general and operative. Fig. 856.—Examination of the rectum by reflected light (Kelly). I use with the greatest satisfaction James P. Tuttles pneumatic proc-toscope (Fig. 858). Dr. Tuttle describes it as follows (Diseases of the Anus,Rectum, and Colon): This instrument is composed of a large cylinder (/), ^o8 Diseases and Injuries of the Rectum and Anus into one part of the circumference of which is fitted a small metaUic tube closedby a flint-glass bulb at its distal end. The electric lamp {d) is fitted upon a. Fig. 857.—Kellys rectal specula. long metallic stem, and carried
. Modern surgery, general and operative. Fig. 856.—Examination of the rectum by reflected light (Kelly). I use with the greatest satisfaction James P. Tuttles pneumatic proc-toscope (Fig. 858). Dr. Tuttle describes it as follows (Diseases of the Anus,Rectum, and Colon): This instrument is composed of a large cylinder (/), ^o8 Diseases and Injuries of the Rectum and Anus into one part of the circumference of which is fitted a small metaUic tube closedby a flint-glass bulb at its distal end. The electric lamp {d) is fitted upon a. Fig. 857.—Kellys rectal specula. long metallic stem, and carried through the small cylinder to the end of theinstrument, as shown in the illustration. The proctoscope is introduced through the anus with the obturator (a)in position. As soon as the in-ternal sphincter is passed thisobturator is withdrawn and thebayonet-fitting plug (b), whichcontains either a plain glasswindow or a lens focused to thelength of the instrument to beused, is inserted in the proximalend of the instrument. Thisplug is ground to fit air-tightand thus closes the instrumentperfectly. The plug being in-serted in the tube, a very slightpressure upon the hand-bulbwill cause inflation of the rectalampulla to such an extent thatthe whole rectum can be ob-served and the instrument canbe carried up to the promontoryof the sacrum without comingin contact with the rectal dilatation will show thedirection of the canal leadinginto the sigmoid, and, by a littlecare in manipulating the instru-ment and keepin
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
