Observations On the Diseases of the Rectum

Cover Observations On the Diseases of the Rectum
Observations On the Diseases of the Rectum
T B Thomas Blizard Curling
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In a case which I know of, the surgeon not estimating this power correctly, dilated until he burst the bowel, and the patient of course died of peritonitis. The rectum, when contracted and diseased, will not bear forcible and rough treatment, and inflammation and ulceration are readily set up by it, with severe aggravation of the symptoms of stricture. In cases of close, dense, organic stricture, which resists the action of bougies, dilatation may be facilitated by incisions, as in the cases to... be narrated. Some sur- geons recommend this operation to be done with the bistouri cache ; but I prefer using a straight, probe- pointed bistoury, introduced flat upon the finger, and carried with it through the stricture. The blade can then be turned towards the contraction. An incision is usually directed to be made in the back of the rectum, towards the sacrum, but I find that more advantage is gained by three or four super- ficial notches in different parts of the contracted ring, than from a single deeper division of the 140 ON DISEASES OF THE RECTUM.

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