. A reference hand-book of gynecology for nurses . r hemorrhoids: 1, Conic rectal dilator;2, pile clamp; 3, hemostats; 4, pile forceps; 5, curved scissors;6, Paquelin caute y. Instruments required (Fig. 69): Conic rectal dilator. Pile forceps. Curved, sharp-pointed scissors. Pile clamp. Paquelin cautery. Hemostats. Catgut No. 1. Dressings.—Press a wedge-shaped compressof sterile gauze against the anus and hold in placeby a T-bandage. After-care.—The pain during the first thirty-six hours is relieved by morphin. Give liquid and semiliquid diet during the firstweek. THE RECTUM AND ITS DISEASES 1
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. A reference hand-book of gynecology for nurses . r hemorrhoids: 1, Conic rectal dilator;2, pile clamp; 3, hemostats; 4, pile forceps; 5, curved scissors;6, Paquelin caute y. Instruments required (Fig. 69): Conic rectal dilator. Pile forceps. Curved, sharp-pointed scissors. Pile clamp. Paquelin cautery. Hemostats. Catgut No. 1. Dressings.—Press a wedge-shaped compressof sterile gauze against the anus and hold in placeby a T-bandage. After-care.—The pain during the first thirty-six hours is relieved by morphin. Give liquid and semiliquid diet during the firstweek. THE RECTUM AND ITS DISEASES 147 Give a laxative, e. g.y four ounces of Hunyadiwater, on the fourth day after operation, and asoap-suds enema when there is desire for a move-ment. Repeat this daily for four days. Bathe the anus with very hot water every morn-ing and evening. Keep the patient in bed one week. Ischiorectal Abscess.—Description of Opera-tion.—Under general anesthesia the fluctuatingmass is freely incised, its cavity cureted, irrigated, and tightly packed.. Fig. 70.—Instruments required for the evacuation of anischiorectal abscess: 1, straight scissors; 2, curved scissors;3, knife; 4, anatomic forceps; 5, hemostats; 6, spoon curet. Instruments required (Fig. 70): Knife. Hemostats. Spoon curet. Anatomic forceps. Straight, sharp-pointed scissors. Irrigating can, tubing, and nozzle. Dressings.—Apply a thick pad of sterile gauzeand a T-bandage. After-care.—This is the same as after the opera-tion for anal fistula. Secondary hemorrhage may follow any rectal I48 GYNECOLOGY FOR NURSES operation; as a rule, the loss of blood is sudden andprofuse, occurring on the fifth to eighth day afterthe operation. The symptoms are those of internal hemorrhage, pallor, restlessness, feeble frequent pulse, and sub-normal temperature. There may be rectal ten-esmus and, rarely, the evacuation of thin blood. The occurrence of such symptoms at any timeafter a rectal operation must be reported to the sur-geon