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Home > Medicine & Health Science textbooks > Surgery > Fistula, Haemorrhoids, Painful Ulcer, Stricture, Prolapsus, and Other Diseases of the Rectum
Fistula, Haemorrhoids, Painful Ulcer, Stricture, Prolapsus, and Other Diseases of the Rectum

Fistula, Haemorrhoids, Painful Ulcer, Stricture, Prolapsus, and Other Diseases of the Rectum


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About the Book

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. 1871 Excerpt: ... knife across the ulcer, if done at the right point, will be sufficient to divide this nerve, and to induce cessation of the pain for some little time; but the muscle beneath being irritated and hypertrophied prevents by its movements the ulcer from healing, and very soon the pain will be re-established; hence the necessity in all but the slightest cases for the division of the sphincter. When the muscle is cut the divided fibres retract, and they do not unite so quickly as the ulcer heals; the result is, the muscle being set quite at rest, it soon loses its hypertrophy and irritability. I have often noticed, after a case of fissure has been cured, how much reduced in size and thickness both the sphincters have become. The cause of failure after imperfect division of the fibres of the muscle is, that entire quiet is not obtained; the undivided fibres, though paralysed for a time, soon recover themselves, and the old contraction is resumed before the ulcer has had time to heal, so that very speedily it reassumes its former character. A great many apparently anomalous symptoms are produced by small painful ulcers of the rectum--retention of urine, pain in the back, pain and numbness down the back of the legs, leading to unfounded fears of paralysis, may be mentioned as not uncommon. When in a fissure the nerves are exposed the pain is most acute at the time of an evacuation; when they are not so exposed the pain generally sets in shortly after the action in consequence of the irritation to the sphincter. In many of these ulcers an examination with a magnifying glass has shown me the fibres of the external sphincter laid quite bear. Patients sometimes tell you that the first time they suffered pain was after a very hard motion, when they felt something give wa...


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Product Details
  • ISBN-13: 9781150552694
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 78
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 1150552697
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 154 gr


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