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Having had difficulty in finding a suitable binder for use in cases following rectal operations, especially fistula, when the patient is required to wear a gauze pad for a few weeks, I designed the binder shown in the accompanying illustration, which, I believe, is superior to any so far used. The cost is nominal.
The binder, which is adjustable, is supported by an arrangement of tapes fastened to a waistband. In detail, it is a cloth band (a) permanently fastened by one end, the back, to an elastic belt (b), which is provided with a buckle for "waist" adjustment. The other end of the cloth band is hemmed (c), so that this end of the band can slide on an elastic tape (d). The elastic tape is made in two parts having a buckle connection for adjustment, and its extreme ends slide on the elastic waistband (b). The plain end
Chisholm AJ. RECTAL BINDER. JAMA. 1922;79(24):2000. doi:10.1001/jama.1922.26420240005013f