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Image from page 526 of “Diseases of the rectum and anus: designed for students and practitioners of medicine” (1910)

Image from page 526 of “Diseases of the rectum and anus: designed for students and practitioners of medicine” (1910)
Heart Disease
Identifier: diseasesofrectum00gant
Title: Diseases of the rectum and anus: designed for students and practitioners of medicine
Year: 1910 (1910s)
Authors: Gant, Samuel Goodwin, 1869?-
Subjects: Anus Diseases Rectal Diseases
Publisher: Philadelphia : F. A. Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
most widely practiced will be given.The Preparation of the Patient for Operation is an importantpart of the surgical treatment. The general health shouldbe carefully looked into, and, if found below par, it mustbe corrected as far as possible. The urine should be ex-amined to detect the presence of any kidney or bladder com- TREATMENT OF INTERNAL HEMORRHOIDS 435 plication. If the patient is suffering from malaria, a few dosesof quinine is beneficial. It is unsafe to operate for hemor-rhoids upon persons in the last stages of phthisis, Brightsdisease, diabetes, or organic heart disease, especially where ageneral anesthetic is necessary. On the morning of the day preceding the operation aHberal dose of some reliable cathartic—such as salts, licorice-powder, calomel, Carabaiia, or Hunyadi water—should begiven to clear the intestine. Three hours previous to the op-eration the bowel should be flushed with a copious high soap-suds injection, and this should be followed, one hour before

Text Appearing After Image:
Fig. 140.—Dilatation of the Sphincter Ani. the operation, by a small enema of warm water and suf-ficient glycerin to excite slight tenesmus. This enema shouldnever consist of more than 1 pint (500 cubic centimeters), be-cause if a larger amount is used a part of it will remain in thecolon and may subsequently flow down over and soil thefield of operation. The external parts should be thoroughlycleansed, and, if necessary, shaved; but, unless the wound isto be sutured, the writer omits the shaving, because of thediscomfort caused the patient during the period when the hairsare growing out. When a general anesthetic is to be given,no food should be taken for several hours previous. 436 DISEASES OF THE RECTUM AND ANUS The following are the operations which have been sug-gested for the relief of internal hemorrhoids^:— 1. Clamp and cautery. 2. Ligature. 3. Excision. 4. Injection of caustic and astringent solutions. 5. Submucous ligation. 6. Cauterization: (1) by puncture, (2) linear,

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