The diagnosis and treatment of diseases of the rectum : being a practical treatise on fistula, piles, fissure and painful ulcer, procidentia, polypus, stricture, cancer, etc / by William Allingham and Herbert W. Allingham.

  • William Allingham
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and treatment of diseases of the rectum : being a practical treatise on fistula, piles, fissure and painful ulcer, procidentia, polypus, stricture, cancer, etc / by William Allingham and Herbert W. Allingham. Source: Wellcome Collection.

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    bone collar-stud into the opening. When this was slipped in, it remained fixed, and the patient wore it and went about without complaining even of dis- comfort. We have tried the collar-stud on several occasions, but have had a small hole drilled through from end to end, in order that no pus might be retained in the sinus, and it has answered the pur- posed desired, viz., to keep the external orifice large. Case. A lady was sent from the country with a small abscess, which had been opened, and a sinus runnmg up the bowel for quite an inch. She was most desirous to be cured, but would not have the knife, and feared the elastic ligature. After a little dilatation of the orifice one was able to insert the bone stud, and in ten days the sinus had healed. To give her every chance she kept her sofa, and the bowels were kept confined for seven days. The patient was seen - some years later, when she was still quite well. Di]ata. It must be added that simple blind external and even complete fistula may occasionally be cured by forcible dilatation of the sphincters. This dilatation, when combined with the application of carbolic acid, is especially useful when the patient is unable to lie up for some time. The patient need only rest for two days after dilatation, and can then return to his work. This is a very uncertain mode of treat- ment, and should only be adopted at the urgent request of the patient. In all cases of fistula, the further the external aperture is from the sphincter the more likelihood is there that the sinus may be healed by palliative measures.