Diseases of the anus and rectum v.2, 1905, Volume 2Longmans, Green, 1905 - 271 pages |
Common terms and phrases
abdominal abscess action anal canal anal margin anal orifice anal region anus appearance artificial anus attached become bleeding blind internal fistula blood bougies bowel cæcal cæcostomy cæcum carcinoma cause cavity circumference coccyx completely constipation defæcation diameter dilatation discharge disease distension evacuation examination excision extended external opening external sphincter fæcal fæces fibrous finger fistula flatus forceps foreign body glands growth hæmorrhage hæmorrhoidal half an inch healed incision increased indurated injection internal piles intestine intussusception invagination ischio-rectal left iliac colostomy ligature loop lower lumen Mark's Hospital mucous coat mucous membrane mucus muscular coat obstruction occur operation pain parietes passage of fæces passed patient pedicle pelvi-rectal performed peritoneal peritoneum polypus portion posterior present procidentia recti prolapse protrusion pruritus quantity rectal wall rectum recurrence removed result sacrum side sigmoid colon sphincter muscle sphincters stage stenosis stricture supervened surface sutures symptoms syphilis tion tissue treatment tube tuberculous ulcer usually wound
Popular passages
Page 155 - Wells' rectangular pressure forceps are applied, one on one side, and one on the other side, of the gut. When the rectum is removed on the distal side of the clips, a stout ligature is then passed beyond the rectangular part of the clip, and is tightly tied as the clip is slowly slackened. The same is done with the other clip. This secures any large superior haemorrhoidal vessels that there may be in the cut end of the gut. There is generally little bleeding, because the inferior haemorrhoidal vessels,...
Page 154 - In our modification of this, the first finger of the left hand is put into the bowel, and a sharp-pointed bistoury is introduced through the skin a little below the anus, making it travel in the cellular tissue up to the top of the growth, but entirely outside the rectal tube.
Page 155 - Now, with the finger in the rectum and the thumb in the cut, one blade of a pair of long, blunt-pointed scissors is pushed into the posterior cut, and the other blade into the cellular tissue of the ischio-rectal fossa. After this, one cuts through all the cellular tissue between the blades, and repeats this proceeding on the other side, keeping the finger of the left hand in the rectum while the left side is being incised, and the first finger of the right hand while the right side is being cut....
Page 152 - The whole of the intervening tissue between this part and the margin of the anus is cut through. If this cut be made with a clean sweep, as near as possible in the middle line, little haemorrhage will result. The left hand of the operator is now placed on the right side of the buttock, so as to draw the anus outwards and stretch the tissues at the line of junction of the mucous membrane with the skin. The portion of the rectum or anus through which the lateral incision is to be made must depend upon...
Page 29 - Chloro- in chiiform should be given, and the protruded gut well dried. The acid must be applied all over it, care being taken not to touch the verge of the anus or the skin. The part is then to be oiled and returned, and the rectum stuffed with wool.
Page 152 - ... membrane with the skin. The portion of the rectum or anus through which the lateral incision is to be made must depend upon the distance from the anus of the lower margin of the disease, and, if possible, should be at least half an inch from the growth.- The point being selected, the knife is made to cut deeply by using firm pressure, a crescentic incision extending from the margin of the first cut round the anus to a point in the middle of the anterior margin. This cut should be made boldly,...
Page 31 - ... We then, having the intestine held firmly out, with the iron cautery at a dull red heat, \ make four or more longitudinal stripes from the base to the apex of the protruded intestine, taking care not to make cauterization so deep towards the apex as at the base, because near the apex the peritonaeum may be close beneath the intestine, while a deep burn near the base is not dangerous. One should avoid the large veins which can be seen on the surface of the bowel. If the procidentia be very large,...
Page 15 - Showing ulceration at the apex of the protrusion. For instance, Copeland* makes the following statement : " In almost every case of prolapsus ani, it is the internal membrane only of the intestine which descends through the sphincter muscle.
Page 253 - ... passed. 4. That there is constant pain or discomfort in the rectum, and sometimes also in the adjacent parts, from the time of puncture until the foreign body has been removed. 5 That the site of...
Page 253 - That the pain in the rectum comes on suddenly while the motion is being passed. 4. That there is constant pain or discomfort in the rectum, and sometimes also in the adjacent parts, from the time of puncture until the foreign body has been removed.