Mathews' Medical Quarterly Volume 1 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1894 Excerpt: ... KRASKE'S OPERATION, WITH REPORT OF CASES, AND THE UTILIZATION OF AN ENLARGED MURPHY BUTTON FOR THE APPROXI-MATION OF THE DIVIDED ENDS OF THE RECTUM. BY H. O. WALKEr, M. I, ., Pn'fewrr of Clinical Surgery, cicnito-Urinary Diseases, and Orthopedic Surgery in the Detroit College of Medicine; Surgron to St. Mary's Hospital, Harper Hospital, tic. Written lor Mathews' Medical Quarterly. A patient with cancer of the rectum has hut a short time to live, as a rule. We rarely see such a case until its occupancy has hecome so extensive that our treatment can only be in the line of palliation. Its origin and development is so insidious, and its a rule quite painless, that it is only when its presence becomes obstructive to the function of the alimentary outlet and painful by pressure that the patient seeks relief; and even then it is often treated as a simple case of "piles," too often the diagnosis of what may affect the rectum. As we find these cases we are left with the alternative of three methods of surgical procedure, namely, internal proctotomy, excision, and eolotomy; and, as the title of this paper signifies a certain method of excision of the rectum with a suggested modification, I shall not deal with the details of pathology, symptoms, and diagnosis, but shall confine myself briefly as possible to the subject-matter. Excision or extirpation of a portion of the rectum has been attended with frightful mortality, as have many other capital operations, largely due to the indiscrimination of the operator and defective antiseptic precautions. Proper selection and rigid asepsis make the operation justifiable. I have recently made two operations of excision of a portion of the rectum for cancer by the Kraske method, which an' as follows: Case 1. This was a gentleman, ...