Part 19

67. The coactor

68. The coactor

69. Illustrating a method of seizing the free margin of the valve by means of the volsellum

70. A volsellum

71. A knife for valvotomy

72. Illustrating a stage preliminary to the division of the valve

73. The method of making the initial incision for valvotomy

74. Clamps

75. Telescoped proctoscope

76. Coactor within a proctoscope

77. A divulsor

78. A divulsor within the proctoscope

79. A method of spraying the rectum

80. A hooked probe

81. An atomizer

82. An insufflator

83. A curet

84. A composite proctoscopic view of a rectal polypus, papillomas, and of a hypertrophied rectal valve of the second degree

85. Portable operating table

86. The table and light-apparatus in position for examination and operations upon the anus

87. The table and light-apparatus in position for examination and operations within the rectum

88. The patient in the Sims’ posture

89. The patient in the new posture

FOOTNOTES:

“Noninstrumental Inspection of the Rectum.”

Italics in the quotations to follow are mine and are used to point out statements to which I will make particular exceptions.

“Treatise on the Malformations, Injuries and Diseases of the Rectum,” French and Allard, New York.

“The Chronology of the Methods of Atmospheric Inflation for Inspection of the Rectum and Sigmoid Flexure;” Thos. Chas. Martin, The Louisville Journal of Surgery and Medicine, December, 1898.