The Treatment of Piles
نویسنده
چکیده
The aetiology of this ' universal and distressing complaint' which is very common in India is variable and need not be discussed in detail, though heredity, constipation, sedentary habits, child-bearing, middle age and drastic methods of cleaning the anus are all important factors, while in later life carcinoma of the rectum and enlarged prostate must never be forgotten. On looking at a patient's anus the surgeon cannot help noticing the radially arranged rug?e in the skin: the rugse, of course, allow the skin to stretch during defsecation. From this simple observation a very important moral can be drawn, namely that all incisions and scars in this region should run parallel with the rugse, that is in the long axis of the bowel, otherwise stricture will result. Just as the string in a pair of pyjamas holds the trousers up, so will
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