Texas State Journal of Medicine
Texas State Journal of Medicine
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In our eReader you can find the full English version of the book. Read Texas State Journal of Medicine Online - link to read the book on full screen. Our eReader also allows you to upload and read Pdf, Txt, ePub and fb2 books. In the Mini eReder on the page below you can quickly view all pages of the book - Read Book Texas State Journal of Medicine
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It is very redundant and is attached to the muscularis beneath by very loose are- olar tissue which allows it to glide freely in any direction; its transverse folds allow it to be brought down to an unexpected de- gree. Longitudinal folds are found only in the anal canal for from about 1 to 1^/4 inches. Separation of this mucosa is diffi- cult only in the anal canal. For easy dissec- tion one should start above the anal canal, where the fascial plane of the mucosa is easily determined, and diss...ect downward through the canal. In this way hemorrhage is also lessened. Complete incision of the sphincters opens the way for such dissec- tion. It is desirable to dissect first and most at the back and sides, where nearly all internal openings of fistulous tracts are found. The attachment of the anal canal is more intimate in front, behind the trian- gular ligament, than at any other point.
For this reason any necessary anterior dis- section should be finished last, care being taken not to go above the prostate, nor deeper than the thumb's length, for fear of wounding the vesico-rectal pouch, should the muscularis be penetrated.
What to read after Texas State Journal of Medicine?
You can find similar books in the "Read Also" column, or choose other free books by Texas Medical Association to read onlineMoreLess
To quickly assess the difficulty of the text, read a short excerpt:
It is very redundant and is attached to the muscularis beneath by very loose are- olar tissue which allows it to glide freely in any direction; its transverse folds allow it to be brought down to an unexpected de- gree. Longitudinal folds are found only in the anal canal for from about 1 to 1^/4 inches. Separation of this mucosa is diffi- cult only in the anal canal. For easy dissec- tion one should start above the anal canal, where the fascial plane of the mucosa is easily determined, and diss...ect downward through the canal. In this way hemorrhage is also lessened. Complete incision of the sphincters opens the way for such dissec- tion. It is desirable to dissect first and most at the back and sides, where nearly all internal openings of fistulous tracts are found. The attachment of the anal canal is more intimate in front, behind the trian- gular ligament, than at any other point.
For this reason any necessary anterior dis- section should be finished last, care being taken not to go above the prostate, nor deeper than the thumb's length, for fear of wounding the vesico-rectal pouch, should the muscularis be penetrated.
What to read after Texas State Journal of Medicine?
You can find similar books in the "Read Also" column, or choose other free books by Texas Medical Association to read onlineMoreLess
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