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abdominal abscess anal canal anesthesia anesthetic anorectal anus bladder bowel cancer cent chronic coccyx colon colostomy complete condition constipation contraction costive defecation diagnosis diarrhea dilatation discharge disease dissection divulsion enema enemata examination excision external sphincter extrarectal causes fecal feces fibrous finger fissure fistula followed foreign body frequently gauze glands growth hemorrhage hypertrophied inches incision inflammation injected internal hemorrhoids intestinal involved irritation later lesions levator ani muscles ligature located lower malignant method movable rectum mucosa mucous membrane mucus muscular nerve normal obstruction occur opening operation ounces pain patient pelvic perineal perineum peritoneum piles portion posterior proctodeum Proctologist proctoscope produce prolapse prostate pruritus rectal pathology rectal wall rectum reflex relief removed reports result sacral sacrum sigmoid skin solution sphincter sphincter muscles spinal stool stricture surface surgeon surgery sutures symptoms tenesmus tion tissue tract treatment tube tumor Tuttle ulceration urethra usually vagina valves variety wound
Page 229 - 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 164 - I believe, in a large number of cases, what happens is as follows: During the passage of a motion one of these little valves is caught by some projection in the fecal mass and its lateral attachments torn; at each subsequent motion the little sore thus made is reopened and possibly extended; the repeated interference with the attempts at healing, ends in the production of an ulcer, and the torn-down valve becomes swollen and edematous, constituting the so-called pile, or, as it sometimes has been...
Page 276 - The mucous membrane above the hemorrhoids 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. The complete ring of pile-bearing mucous membrane is thus removed.
Page 165 - ... and how painful they are when dragged upon. Now, the torn-down anal valve resembles closely this condition of the finger, except that in the former it is situated at the acutely sensitive anal margin, and subjected to the periodic strain of a passing motion; it is, therefore, not to be wondered at that the pain should be so excessive as seriously to affect the general health and render life miserable.
Page 503 - The condition of patulous anus results from an abnormal loss of tone in the sphincter muscles, which may be due to either a fault intrinsically within the muscle, or to some disturbance in its nerve supply. When purely muscular the cause may be a direct injury to the muscle; an infiltration by a malignant or a syphilitic growth ; a participation in a general muscular weakness ; or the presence of a foreign body in the rectum which prevents the muscle from completely contracting. When the nerve supply...
Page 137 - a jelly-fish;' more rarely there is matter. The patient in all probability has tenesmus, and does not feel relieved; there is something of a burning and uncomfortable sensation, but not actual pain; before he is dressed very likely he has again to seek the closet; this time he passes more motion, often lumpy, and occasionally smeared with blood. It also may happen that after breakfast...
Page 316 - 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 276 - The external and the commencement of the internal sphincters are then exposed by a rapid dissection, and the mucous membrane and attached haemorrhoids, thus separated from the...
Page 277 - If the operation were confined to selected cases, the writer would have only words of commendation for it. Unfortunately it is being done promiscuously by surgeons to the exclusion of more simple and better operations, irrespective of the number and size of the piles. As a result, rectal specialists are constantly besieged by victims of Whitehead's operation, for whom they can do nothing to cure and little to alleviate.
Page 431 - The successful treatment of the uterine disorder may be suflicient to cure the fissure (if no polypus exists), or at all events the ulcer will afterwards yield to local applications and general treatment. If the fissure should be benefited by operation, as long as the uterine malady exists, there will be a constant danger of a relapse taking place. The most common forms of uterine displacement in connection with fissure are, according to...