FISSURE OF THE ANUS
AND
FISTULA IN ANO.

BY
LEWIS H. ADLER, Jr., M.D.,
Instructor in Diseases of the Rectum, in the Philadelphia
Polyclinic and College for Graduates in Medicine.
1892.
GEORGE S. DAVIS,
DETROIT, MICH.

Copyrighted by
GEORGE S. DAVIS.
1892.

TABLE OF CONTENTS.

FIRST PART.—ANAL FISSURE, OR IRRITABLE
ULCER OF THE RECTUM.
Definition—Location—Age and Sex Affected—Etiology
Symptomatology—Physical Exploration—Diagnosis—Prognosis
Treatment, Palliative and Operative
SECOND PART.—FISTULA IN ANO.
Relative Frequency—Age and Sex Affected—Etiology—Classification
Symptomatology—Physical Exploration—Diagnosis—Prognosis
The Palliative Treatment
The Operative Treatment

PREFACE.

In the following pages I have endeavored to give a conciseyet thorough account of the two affections Fissure ofthe Anus and Fistula in Ano, in respect to their etiology,symptomatology, diagnosis, and treatment. It has not beenmy object to write upon rectal fistulæ in general.

While the two subjects treated in this volume have beenably written on at various times and by different authorities,it is undenia

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