ON PROLAPSUS ANI, WITH HÆMORRHOIDS,

Prolapsus Uteri

Pror.*^ ? ns' interposition operation for prolapse ?aentia. The principle of the Watkins' operation is based on separating the bladder from the anterior wall of the nterus and transposing its attachment to the posterior wall, so that the uterus is left in a position to support the entire bladder. Watkins performed his first operation in 1898. Several modifications, notably that of Wertheim, hav...

Pathological and Therapeutical Observations on Hæmorrhoids

Colopexy for Prolapsus Recti

cis1^,:!^^:0 ver* The usual primary union took p|?Ce with, lap.d and uneventful recovery and absolute cure Of the prolapse with all Us attendant misery No pain or uneasiness were ever complained of at he seat of fixation, and the bowels moved well and regularly. Technique. The patient havi.nobeen thoroughly prepared and the bowels attended to I "lake a three-inch incision in the linea alba just...

Operative Treatment of Hæmorrhoids

Operation.-?On 24tli February last, after an enema had been given in order to clear the lower gut, lie was laid on the left side, knees drawn in. Dr. Arnold's combined duckbill and bivalve speculum was introduced into the rectum. The tumours were seized with pile forceps and their pedicles were tied with silk thread. Acidum Garbolicum Glaciate (m ii) was injected in each of them. An oiled lint ...

Blockage of the Inferior Hæmorrhoidal Nerve for Operation on Hæmorrhoids

I. Anatomy TWo sphincters guard the anal canal, the external sphincter and the internal sphincter. The external sphincter.?The external .sphincter is composed of the subcutaneous part, the superficial part, and the profundus or the deep part. The subcutaneous part is composed of muscle fibres surrounding the anal orifice, and is intimately connected with the skin. It is supplied by perineal bra...