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August 9, 1941

Hæmorrhoids and Their Treatment: The Varicose Syndrome of the Rectum

JAMA. 1941;117(6):494. doi:10.1001/jama.1941.02820320086030

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The first five chapters are devoted to the etiology, symptomatology, diagnosis, investigation and treatment of hemorrhoids. In twelve years the author has performed 3,100 injections. "In 1935, after some 2,000 cases had been treated without serious complication, there occurred in rapid succession two fatalities." The author calls his treatment the "vein compression method and it consists of injections of about 8 minims of 20 per cent solution of quinine bihydrochloride, urethane, procaine and tincture of catechu (20 per cent)." This injection is made "round the bowel in a clockwise sequence, under the mucosa at a level above the hemorrhoids." It is claimed that "the cure is usually complete in five to seven treatments," although one patient "required more than twenty." The author claims that "the fissure owes its existence to a thrombosed varix" and "piles are found in 100 per cent of the cases." He also states that "fistula in

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