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abdominal abscess acute anal canal anus artificial anus bladder blood blood-vessels bougie bowels caliber cancer carcinoma catarrhal cause cauterization cavity chancroid chronic clamp coccyx colon colostomy condition constipation cure develop diarrhoea dilatation discharge disease dissected examination excision fact faecal faecal mass faecal material faeces fibers fibrous finger fissure fistula fistulous tract fluid folds foreign bodies frequently growth haemorrhage haemorrhoids healing hypertrophy inches incision indurated infection inflammation inflammatory inguinal intestinal canal introduced irritation layer ligature lymphatics margin method mucous membrane mucus muscular neoplasms normal obstruction occur opening operation organs pain passage passed pathological patient pelvic perineal peritonaeum peritoneal portion posterior procidentia proctoscope produce prolapse pruritus Quenu and Hartmann rectal wall rectum rectum and sigmoid relief removed result sacral sacrum sigmoid flexure skin sometimes speculum sphincter stool stricture surgeon sutures symptoms syphilis tion tissue treatment tubercular tumor ulceration urethra vagina valves wound
Page 588 - The LORD will smite thee with the botch of Egypt, and with the emerods, and with the scab, and with the itch, whereof thou canst not be healed.
Page 655 - The mucous membrane above the haemorrhoids is now divided transversely in successive stages, and the free margin of the severed membrane above is attached as soon as divided to the free margin of the skin below by a suitable number of sutures, ua The complete ring of pile-bearing mucous membrane is thus removed.
Page 697 - A curved incision about two inches in length is made midway between the coccyx and anus. This is carried through all the tissues into the rectro-rectal space. With the fingers or a dull instrument introduced through this incision, the rectum is separated from the coccyx and sacrum posteriorly as high up as the attachment of the mesorectum, and on the sides as far as the attachment of the lateral ligaments.
Page 588 - And it was so, that, after they had carried it about, the hand of the LORD was against the city with a very great destruction: and he smote the men of the city, both small and great, and they had emerods in their secret parts.
Page 654 - ... thus separated from the submucous bed on which they rested, are pulled bodily down, any undivided points of resistance being snipped across, and the haemorrhoids brought below the margin of the skin.
Page 766 - ... in 1909 — there will be more deaths in New York State from cancer than from consumption, small-pox, and typhoid fever combined.
Page 239 - I will not venture to assert that these cutaneous growths are never found except with syphilitic disease of the rectum, but they are very common in association with it, and so rare without it that I have not yet seen a case in •which they existed either alone or with any other disease than syphilis.
Page 698 - The other sutures are treated in like manner, each being brought out one-half inch lower than the preceding one. The ends are then drawn taut and the prolapse is thus dragged up into the hollow of the sacrum, where it belongs. A pad of gauze is laid over the sacrum, and the sutures tied over this to avoid their cutting into the skin.
Page 640 - The secret of the wellbeing of your patient depends greatly on this tying— a part of the operation by no means easy, as all practical men know, to effect. If this be done, all the large vessels in the pile must be included. The arteries in the cellular tissues around and outside the bowel are few and small, as they do not assist in the formation of the pile, being outside it. These vessels rarely require ligaturing. The silk should be so strong that you can not break it by fair pulling.