One of the most noteworthy advances in the surgery of the rectum during the past decade consists in the development and perfection of the technic which renders it possible to perform the majority of the operations on this organ under local anesthesia. This possibility will be questioned by some, perhaps disputed by others; but theoretical objections are not entitled to weight in the face of facts to the contrary. During the past year and a half I have called attention to this subject on a number of occasions. As my experience with the method has enlarged, I have become more deeply impressed with its value, and in the light of this experience I wish again to bespeak for it the consideration which its many advantages merit.
I have heard other operators, a very few, however, express different sentiments, but so far as my experience qualifies me to speak, general anesthesia
COOKE AB. LOCAL AND REGIONAL ANESTHESIA IN RECTAL SURGERY.A SYNOPSIS OF SEVENTY OPERATIONS.. JAMA. 1906;XLVI(22):1685-1687. doi:10.1001/jama.1906.62510490029001i