rectal instruments

Archives for the ‘Anus’ Category

OPERATIONS FOR EPITHELIZED PILONIDAL SINUS AND GLUTEAL DERMOID CYST

By • Дек 26th, 2010 • Category: Anus

Epithelized pilonidal sinus occurs in young individu­als in association with a blind tract or small cyst lined with flat skin epithelium found in the subcutaneous tis­sues of the sacral region. In 45—50 per cent of cases, a shaft of thin hair protrudes from the sinus opening (Figs 91,1 and 91,2). Operative technique. Under local or […]



OPERATION FOR HEMORRHOIDS OPERATIONS FOR EXTERNAL HEMORRHOIDS

By • Дек 26th, 2010 • Category: Anus

External hemorrhoids or piles have the shape of an anal tags or of external varicosities (Fig. 96). Operative technique. Under local anesthesia an anal tag is picked up with an Allis forceps and removed with scalpel after making an oval incision of the skin around the tag. (Fig. 97.1). The same procedure is used to […]



Operation for external hemorroids with anal canal prolapse

By • Дек 26th, 2010 • Category: Anus

In this variety of hemorrhoids, 4 or 5 wide oval tags are excised. The skin and mucosa are stripped for 0,3 cm from one edge of the oval defect, after which this edge is anchored with 1 or 2 catgut sutures to tis­sues in the middle of the wound defect. This applies to each of […]



OPERATION FOR INTERNAL HEMORRHOIDS

By • Дек 26th, 2010 • Category: Anus

We perform this operation in cases (Fig. 100) of (a) prolapsing hemorrhoids, (b) profuse bleeding, and (c) inflammatory exacerbation. Operative technique. Any operation for internal he­morrhoids must be preceded by stretching of the anal sphincter by means of a rectal speculum (Fig. 101,1) which is smoothly inserted several times into the anal canal. The sphincter […]



TREATMENT OF EXACERBATED HEMORRHOIDS

By • Дек 26th, 2010 • Category: Anus

When there is inflamed edema of the hemorrhoid, we first apply cool lotions and ointment having the formu­la: Menthol, 0.5 g, Sulfanilamide 5 g, Novocain 5 g, and Zinc ointment 50 g. Good results are produced by a no-vocain block by the Vishnevsky method (Fig. 106) which is brought about by injecting 30 ta 40 […]



OPERATIONS FOR ANAL FISSURES

By • Дек 26th, 2010 • Category: Anus

In 90 per cent of cases anal fissures localize on the posterior coccygeal wall of the anal canal, and in 10 per cent on its anterior wall. No fissures are formed on the lateral walls of the anal canal. Multiple fissures are ne­ver encountered. Operation for fissure excision with partial division of the sphincter. Under […]



SURGICAL TREATMENT OF COCCYGODYNIA

By • Дек 26th, 2010 • Category: Anus

Coccygodynia is characterized by pain in the coccy-geal region when sitting or application of pressure is due to a previous single or continual trauma of the coc­cyx. The surgical methods for treating this condition include novocain block and coccygectomy. A short novo-cain block according to Vishnevsk’y is obtained by in­jection around the coccyx and into […]



SURGICAL TREATMENT OF ANAL NEURALGIA

By • Дек 26th, 2010 • Category: Anus

This condition is occasionally (in 3—4 per cent of cases) encountered following an operation for anal fis­sure or, less frequently, hemorrhoidectomy, and is cha­racterized by persistent aching and burning pains. The surgical treatment includes the blocking of the perianal portion of the sphincter by a 0.6 per cent of novocain solution with 0.15 per cent […]



OPERATIONS FOR CONDYLOMAS OF THE ANUS

By • Дек 26th, 2010 • Category: Anus

Condylomas occur as a result of irritation of the pe-rianal skin by rectal discharges in proctitis of a viral etiology. Prior to operation, the proctitis is treated by giving the patient medicinal enemas for 7 to 10 days daily (following a purgative enema) to instill 100 ml of 0.4 or 0.5 per cent Collarhol solution […]



OPERATION FOR TWO-STAGE EXCISION OF PERIANAL CONDYLOMAS

By • Дек 26th, 2010 • Category: Anus

In those cases with densely growing condylomas, it is necessary to resort to excision of the tumour in two or more stages by removing triangular areas of perianal skin together with some of the condylomatous growths. It will be seen from Figs 131,1; 131,2 and 131,3, that in no case should the total length of […]