Rectal and anal surgery : with a full description of the secret methods of the intinerant specialists / by Edmund Andrews and Edward Wyllis Andrews.

  • Edmund Andrews
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Rectal and anal surgery : with a full description of the secret methods of the intinerant specialists / by Edmund Andrews and Edward Wyllis Andrews. Source: Wellcome Collection.

Provider: This material has been provided by the Gerstein Science Information Centre at the University of Toronto, through the Medical Heritage Library. The original may be consulted at the Gerstein Science Information Centre, University of Toronto.

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    Fig. 15.—Kelsey's Speculum metallic, trumpet-shaped shell, fitting closely to an ebony removable plug or core, which projects beyond the tip to facilitate insertion. A fenestrum or slot extends the whole length. The instrument is inserted with the plug in, and the fenestrum on whatever side it is desired first to examine. The plug is then withdrawn and the membrane inspected; the plug is then re-inserted and the fenes- trum turned in a new direction, when the plug is again withdrawn. The plug prevents the edges of the fenestrum from scraping the membranes painfully, and by several re - insertions of it the opening can be turned to every part of the rectal walls. The inner opening shows something of the membrane pro- lapsed over it, but the orifice of the tip is too small, and the instrument too short for efficiency in deep explorations. The present rectal itinerants generally use a small, tapering speculum, open at the tip, and having a plug to facilitate entrance. Like Allingham's, it is too short and too small for Fig. IG.—Allingham's Fouk-bladed Speculum. deep work, but as it has a lateral fenestrum, closed by a removable slide, most of the objects sought by that ignorant class can be brought into view by means of it. Tubular specula, however, are solely for examination. One cannot often use them in operating. A pair of Sims'
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