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Related post: ing, leading to constipation, but this is rarely the
•case. When necessary, however, they may be div.d-
ed through their free borders by means of a pres-
sure clip or ligature, which devitalizes the tissues
and falls off in the course of a few days. The re-
sulting proctitis may temporarily stimulate the rec-
tum and cause soft bowel evacuations, but perma-
nent cure thereby Buy Ciprofloxacin Online of constipation is not attained.
The usual variety of rectal prolapse, which consists
in an extrusion of mucosa largely derived from the
upper anal canal and lower rectum is readjusted,
and polyps are readily 500 Mg Ciprofloxacin removed under local anes-
thesia by ligating and cutting away the redundant
or hypertrophied tissue.
The modified covering Ciprofloxacin Cipro of the anal canal, its
unique structure, together with the traumatism to
which it is liable through bowel evacuations, pass-
age of foreign bodies, and infection or injury com-
ing from without, make inflammatory processes
common. Cheap Ciprofloxacin Ordinarily the lining membrane stretches Purchase Ciprofloxacin
■sufficiently, although not to the same degree as rhe
Fig. 2. Order Ciprofloxacin Online — Abnormal anus.
bulge without Cipro Ciprofloxacin relaxing whe:
thesia, division, not divulsio
It Ciprofloxacin Online is tight, and the sphincter muscles
the Purchase Ciprofloxacin Online patient strains. Under local anes-
1, of the strictured canal is Order Ciprofloxacin carried out.
surrounding skin, to prevent tears, but with con-
tinued congestion Ciprofloxacin 500mg and infiltration an abrasion may
result upon the passage of hardened bowel con-
tents, leading to a fissure perchance, which heals,
or, persisting, may become tuberculous, or, as Ciprofloxacin Ciprofloxacin usual,
remain simply inflammatory. Any denudation or
ulceration of the Ciprofloxacin And mucosa permits deeper infection
to take place, which may progress to abscess and
fistula. Concomitantly there develops spasm of the
anal musculature, which if continued leads to more
or less permanent induration and hypertrophy of
the muscles involved, and to increased difficulty of
bowel evacuation.
Instead of starting as an abrasion, or as the re-
sult of chronic congestion dependent upon hepatic
engorgement, excesses in eating or drinking Buy Cheap Ciprofloxacin or
other general cause. Ball has pointed out What Is Ciprofloxacin that there
exists a potent and frequent etiological factor of
localized disease in the presence of the anal crypts.
There Ciprofloxacin Mg are from six to ten of these small pockets,
their openings pointed upward, just above Hilton's
white line (the site of juncture of modified mucosa
and Buy Ciprofloxacin skin). The free borders of these valves are en-
dowed richly with nerve fibres which Where To Buy Ciprofloxacin give anal
sensation to the canal. At the attached ends the
Fig. 3. — Pruritus ani. The skin is Generic Ciprofloxacin macerated, swollen, thrown
into folds, lessened in elasticity, and has lost its pigmentation. Itch-
ing is worse at night. The writer's operation, based upon the theory
of Ball, consists in Ciprofloxacin 500 Mg dividing subcutaneously the nerves involved,
working through two or three small cutaneous incisions, and is done
without pain or laying up of the patient. Relief is immediate and
cure permanent.
864
BURROWS: PAINLESS RECTAL OPERATIONS.
[New York
Medical Journal.
%
\
--. V
»■

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