This historic book may have numerous typos and missing text.
Purchasers can usually download a free scanned copy of the original
book (without typos) from the publisher. Not indexed. Not
illustrated. 1900 edition. Excerpt: ...minute. According to
Allingham crushing is a very satisfactory method of removing
internal jriles. 6. Thermo-cautery (Paquelin) and Galvano-cautery.
Langenbeck introduced the method of operating upon piles by means
of thermo-cautery. Each pile is seized with a volsellum forceps and
drawn well down. The clamp is then applied so as to embrace its
base. The portion above the clamp is cut off with a pair of
scissors and the cauteryiron, heated to a dull red heat, is
reieatedly applied to the stump until all the vessels are well
seared. Instead of using the Paquelin, galvano-cautery may be
applied for the removal of hemorrhoids, the technique being
identical with the former. Bardeleben and also Kosenheim strongly
recommend the latter method. 1 Allingham: "Diseases of the Rectum,"
1896, p. 153. 7. Extirpation of Hemorrlioids, followed by Suture.
This method was first introduced by von Esmarch1 in Germany and by
Whitehead in England. It is not, however, extensively used as it is
quite complicated, besides giving rise to many disagreeable
complications. Thus Allingham has noticed the following sequels of
such an operation: 1. Anal stricture. 2. Loss of sensation and
control over the anus. 3. Irritation of the mucous membrane due to
frequent discharges of mucus and at times accompanied by bleeding.
After any of the above-named operations it was customary to employ
an astringent in order to prevent a movement of the bowels for a
few days. Contrary to this method E. Graser2 is of the opinion that
such patients are better off when having a free movement shortly
after the operation. He administers soon after its performance a
small dose of castor oil and instructs the patient to have an
evacuation while in a warm sitz bath. Cleansing of the...
|Country of origin:
||246 x 189 x 6mm (L x W x T)
||Paperback - Trade
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