File:Diseases of the rectum and anus- designed for students and practitioners of medicine (1910) (14598062489).jpg

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Identifier: diseasesofrectum00gant (find matches)
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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ps. The bowel is now completelydivided by a circular incision made immediately above the ex-ternal sphincter, and the rectum above the incision freed suffi-ciently to be grasped with four long-handled, T-shaped forceps,one on each of its sides, and held by an assistant. In order to gain the necessary room for dissection, a 552 DISEASES OF THE RECTUM AND ANUS probe-pointed bistoury is pushed, with its flat side toward thebowel, upward for a distance of two or three inches (5.08 or7.G2 centimeters) through the cellular tissue immediately be-hind the rectum; the knife is then directed backward and with-drawn, dividing in one stroke all the soft parts, including thesphincter, back to the tip of the coccyx, and leaving a deep,triangular wound (Fig. 175).^ Allingham considers this cut asthe key to the operation. The traction-forceps are now grasped in the left hand andthe rectum held first to one side, then to the other, while it isfreed from its attachments to the surrounding structures by
Text Appearing After Image:
Fig. 176.—Manner of Isolating tlie Bowel. dissections made with the finger, handle of the scalpel, orblunt scissors (Fig. 176). Sharp-pointed scissors or the knifeshould not be used for this purpose, owing to the danger ofbutton-holing the bowel, urethra, or vagina. The rectum canbe loosened from its posterior more rapidly than from its ante-rior attachments, because of its close relations in front to thebladder, urethra, and prostate or vagina. When the dissections have been carried above the growth(Figs. 176 and 177), the bowel is drawn downward as far aspossible and amputated, the proximal end being grasped with 1 Pigs. 175, 176, and 177 were used by Mr. Herbert W. Allingham in the chapterwritten by him on Cancer of the Rectum for the previous edition of this work. TREATMENT OF MALIGNANT TUMORS 553 forceps to prevent retraction. Spurting vessels are ligated, andoozing arrested by packing the wound with gauze compresseswrung out of hot water. If possible, the proximal end of thebo

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  • bookid:diseasesofrectum00gant
  • bookyear:1910
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Gant__Samuel_Goodwin__1869__
  • booksubject:Anus_Diseases
  • booksubject:Rectal_Diseases
  • bookpublisher:Philadelphia___F__A__Davis
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:677
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
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30 July 2014

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