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System of Surgery Volume 4

System of Surgery Volume 4


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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. 1896 Excerpt: ...inflicted upon the inferior hemorrhoidal nerves. Multiple transverse wounds of the muscle may not entail fecal incontinence, provided there has been little separation of the divided ends, while division of a single point may be followed by complete loss of power if the ends have been suffered to remain retracted much during the healing. The disability following complete perineal ruptures during childbirth is an illustration of the latter statement. Too extensive circumanal incisions in the treatment of tortuous fistulous tract may divide the hemorrhoidal nerves to such an extent as to permanently paralyze the sphincters, aside from any wound of the muscle itself. Although experience has shown that, as a rule, a single complete division of the sphincter when allowed to heal by granulation does not entail fecal incontinence, in the treatment of wounds of the anus the divided ends of the sphincter should, if possible, be brought together by sutures, preferably silkworm gut or silver wire, to secure their union in close apposition, while the recesses of the wound that may extend outward among the tissues of the ischio-rectal fossa should be independently treated by packing or deep suture as the necessities for drainage may require. The amount of annoyance caused by loss of power of the sphincters will depend upon the state of the bowels and the relaxation of the tissues at the anal outlet. There is always entire lack of control over the escape of gases: the faeces, as long as they are well formed and semi-solid, may habitually present for escape at a certain time only each day, and may be held in partial check by hypertrophy of the lower circular fibres of the rectum and by cicatricial contractions at the outlet. Diarrhoeal discharges find nothing to arrest the...


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Product Details
  • ISBN-13: 9781236166791
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 444
  • Spine Width: 23 mm
  • Width: 189 mm
  • ISBN-10: 1236166795
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 789 gr


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