Surgery.

Date:: [1913]

Catalogue details

Licence: In copyright

Credit: Surgery. Source: Wellcome Collection.

256/412 (page 226)

At the first operation of inguinal colostomy operability is decided. Tumours within four inches of the anus are treated by perineal resection and cases above that level by the abdomino- perineal operation. Inoperable cases are considerably relieved by colostomy; radium or X-ray therapy may delay the end. Describe Sarcoma of the Rectum. A rare tumour springing from the submucous tissue of the anal canal, and extending upwards to the rectal ampulla. Clinically it closely resembles carcinoma. The glands— inguinal, sacral', and lumbar are early affected. The treatment is similar to that for rectal carcinoma, but the disease is even more lethal. Describe Epithelioma of the Anus. Epithelioma arises in the vicinity of the white line of Hilton as a warty thickening of the epithelium, which is covered with dry crusts of mucus and debris. The tumour grows slowly and affects the inguinal and subinguinal glands. Agonising pain is complained of; haemorrhage is scanty but offensive. The treatment consists in excising the anal canal freely, and subsequently dissecting away the glands in the inguinal region. * GENITO-URINARY SYSTEM. THE KIDNEY. Describe the Examination of a case complaining of Urinary Symptoms. (a) Take a careful history inquiring into :— (l) Fain—site and radiation ; persistent or spasmodic.