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May 17, 1913

"A New Operation for Hemorrhoids"

Author Affiliations

Orland, Cal.

JAMA. 1913;60(20):1559. doi:10.1001/jama.1913.04340200049030

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To the Editor:  —In The Journal, April 12, 1913, p. 1154, Dr. R. A. Bachman describes his operation under this heading. For a number of years I have operated with the best results as follows:The instruments used are one pair of "mousetooth" forceps, a pair of pocket scissors and a half-curved needle; the material, chromicized gut or silk. The sphincters being dilated and the pile-bearing ring rolled out, the forceps grasp the posterior portion of the mucous membrane on one side, the threaded needle is introduced into the intestine above the ring, carried at right angles under it, care being taken not to include the sphincter, and is brought out at the mucocutaneous junction. The scissors now cut through both layers of mucous membrane about 3/16 inch distally from the suture, at right angles to it, and it is immediately tied. This is repeated every ¼ inch until the

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