Diseases of the anus and rectum, Volume 1 (Google eBook)

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Longmans, Green, 1900 - Rectum - 271 pages
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Page 84 - To reach a collection in the prostate through the perineum, the index-finger of the left hand should be introduced into the...
Page 216 - Although these ulcers are generally stated to be due to an act of laceration of the mucous membrane, or to its abrasion from some irritation, they not infrequently originate within the sinuses of Morgagni, and a true fissure may be entirely concealed from view within one of these pouches.
Page 276 - ... work published by Drs. Goodsall and Mills of St. Mark's Hospital (on page 276), the following language is used : "In the third stage of hemorrhoidal formation, that is when the piles do not spontaneously return into the rectum, but require manual reduction, the prolapse again taking place on slight exertion, such as standing or walking, as well as with every act of defecation, bleeding is the exception, a discharge of rectal mucus taking its place. When the surfaces of these piles are examined...
Page 137 - ... to keep clean, and is conducive to incontinence. Some authorities maintain that leakage in varying degree always follows complete division of the sphincter. In those instances where the gut end of the fistulous tract opens above the internal sphincter, Goodsall advises against operation, and says: "In fact, the patient should be urged to tolerate the persistence of his fistula rather than take the risk of the loss of power of control over the contents of the rectum.
Page 67 - ... over it is reddened, tense, and glistening. As the disease progresses, the pus forms and burrows in the direction of least resistance, and may point in the rectum or upon the surface in any part of the ischio-rectal region, where fluctuation may be obtained. Goodsall says: "The weak points in this region are (1) the interval between the sphincters, (2) the incomplete stratum of deep fascia separating the fat of the fossa from that of the subcutaneous tissue, and (3) the incomplete attachment...
Page 276 - This altered mucous membrane is very much paler in colour than the normal, and, when dried, its surface does not readily become moist again. Moreover, gently rubbing the surface will not always cause bleeding, as would happen in the case of a pile covered with normal mucous membrane. Microscopically the epithelium of the altered mucous membrane is seen to have become metamorphosed, the single layer of columnar cells having been changed into several layers of stratified epithelium (see fig.
Page 37 - ... sciatic nerve of the right side ; 2, 2', on the right side, inferior gluteal nerve ; 2", on the left side, gluteal cutaneous branches of the small sciatic ; 3, small sciatic nerve in the thigh ; 4, 4, inferior pudendal nerve ; 4', network of this and the superficial perineal nerves in the scrotum ; 5, right pudic nerve ; 6, superior branch or dorsal nerve to the penis : 7, external superficial perineal branch ; 7', internal superficial perineal branch ; 8, deep or musculo-bulbal branches ; 9,...
Page 276 - ... examined, the mucous membrane will be found to have undergone considerable structural change at its lower part, the epithelial covering being considerably thickened, so as to closely resemble epidermis. This altered mucous membrane is very much paler in color than normal, and when dried, its surface does not readily become moist again.
Page 210 - UECTUM. the lateral borders overlap the rloor of the fissure, so that its full width cannot be seen unless they are first drawn apart. At the lower border of the fissure, or on one side of it, there is sometimes a small fold of skin, the sentinel pile of some authors...
Page 59 - ... the wounded part. (3) The identity of the injured area with that giving origin to the tumor; a blow in one part of the body cannot be made the cause of a tumor arising in another part. » * » (4) The tumor must be of a type that could conceivably result from trauma. (5) There must be a proper time interval between the receipt of the injury and the appearance of the tumor.

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