File:Diseases of the rectum and anus- designed for students and practitioners of medicine (1910) (14804513263).jpg

Identifier: diseasesofrectum00gant (find matches)
Title: Diseases of the rectum and anus: designed for students and practitioners of medicine
Year: 1910 (1910s)
Authors: Gant, Samuel Goodwin, 1869?-
Subjects: Anus Diseases Rectal Diseases
Publisher: Philadelphia : F. A. Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
f New York, through his most excellent workon Anal Fissure, published in 1868, has done more than anyother writer to make clear the importance, frequency, andproper treatment of fissure. The term fissure has been applied to every form of pain-ful ulcer within the grasp of the sphincter-muscle, but it doesnot properly describe all such lesions, because many of them,beginning as elongated and slit-like clefts, become enlarged,and when their edges are separated they are seen to be circularor irregular in shape. Others may begin in the latter form andproduce all the characteristic symptoms of the ordinary fissures,but should not be classed as such. For this reason the authorin deahng with this subject, will employ the term painfululcer to describe all such lesions, irrespective of their shape. Painful ulcer occurs at all ages, but is most common inadults. It is more common in infants than in older children.Writers generally maintain that it is met with more frequently(294) 2 !^CI S 05 O g
Text Appearing After Image:
ANAL FISSURE 295 in women than in men. It has been the authors experience,however, that the converse is true, and GoodsaU is of the sameopinion, having treated 329 cases, of which 190 were males and139 were females. Painful ulcers are usually single, but in exceptional casesthere may be two or more. Out of 221 cases treated by Good-sail in St. Marks Hospital, London, a single lesion existed in208; in 12 there were two fissures and in 1 only three werepresent. The ulcers vary from one-fourth to three-fourths of aninch (63 millimeters to 1.90 centimeters) in length and fromone-sixteenth to one-half inch (15 millimeters to 1.27 centi-meters) in breadth, and are narrowest at their extremities.They may be superficial or extend entirely through the mu-cosa, exposing the muscular coat, the fibers of which can beseen crossing the ulcer at a right angle. They are parallelwith the long axis of the bowel, and are most frequentlylocated posteriorly at or near the median line; they are some-times

Note About Images