Some abnormal conditions of the sexual and pelvic organs, which impair virility / by Edward H. Dixon.

  • Dixon, Edward H., 1808-1880.
Date:
[1861?]
Catalogue details

Licence: Public Domain Mark

Credit: Some abnormal conditions of the sexual and pelvic organs, which impair virility / by Edward H. Dixon. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    the ■' . and the absolute integrity of the Burgeon, will avail the patient who desires to do the best lie can for the preservation of life. Therefore, ho il 1 always applj i who is p xfectly familiar with such cases, and one whose honesty is known. tethods of operating on fistula. The one is, by pa one hand into the rectum, or urut, an 1 then, after having ascertained the direction of the fistula, passing a probe p tinted director into the outer ope ning, following it with a delicate p linted knife, and thus op sning the fistula into the gut The wound is then to be kept apart for a few days with lint, to pre its healing m 1 not at the bottom, thus causing the disease to continue. The other method is by the ligature. A silk thread, or, what is better, a : wire, is pa igh tl pening in the Bkin into the gut, and then by a blunt hook brought out of the bowel; this is gradually tightened <>r twisted till it cut- through (he .-kin and all the portion of the bowel included in the ire. It is a far more tedious and infinitely re painful method. Mr. Ar nott's beautiful device of chilling the skin with ice and salt in a gauze bag renders life as painless as though the prison operated on was under ether or chlo- i; and, wlui is better, there is no subsequent headache and no possible danger. We haveused the ligature a few times to please the patient, hut think tall decline it hereafter. The ice and salt have never Tailed in a number of king to be desired in all operations on the skin and is parts. We lind ether and chloroform rarely necessary ; m our private hospital we have used them hut five limes during the past pear. a term used by surgeons to express not. exactly a . -r (hit in the bowel, but rather an ulcer of its mucous lining. Il is n'sii ally low down, and visible by separating the parts. It rarely or n< i in children, hut usually in adults, and is common in females, who are often itary habits, constipated; this condition often produces if. Ii ■ an ulcerated internal pile; sometimes by mechanical in- jury from the awkward use of a Byringe, or the passage of a hard Bubstance ; hilitic ulcerations. It produces the mosl violent burning, sometimes to such extreme agony on pas ing the contents of the bowels that patients will often delay defecation till compelled to yield to the demands of na- wasting of the flesh and extreme nervous sensibility ; we have known it to produce temporary insanity. It corues on gradually, often by a persistent itching, at first attraoli.rr ][Mi. or no attention. The pain is produced hy a spasmodic affection of the Bphincter mus cle that surrounds the gut; the itching is produced hy the contact of the fo There are two methods, also, of curing this disease : one by ve ltive and causttc ointments and subsequent dilation with various si: ,. „,), conical instruments, formed of India rubber, and called bougies; the other Im- partially dividing the ulcer only, with the knife, which allows it to heal like any ordinary cut. The latter is instantaneous and the far preferable method