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June 26, 1909


Author Affiliations

Passed Assistant Surgeon, U. S. Navy SAN FRANCISCO

JAMA. 1909;LII(26):2101-2102. doi:10.1001/jama.1909.25420520015003a

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This instrument was devised for a clamp and suture operation described by me in the Naval Medical Bulletin, October, 1908. It has the following advantages, in all hemorrhoid operations, over the clamps now in general use:

  1. The clamp and speculum are combined.

  2. The natal curve of handles gives access to operative field.

  3. The slender jaws produce less extensive area of crushed tissue.

  4. The angle of jaw and curve of handles prevent dragging on the tumor by weight of instrument, as the instrument in position rests on the buttocks and sacrum.

  5. The closed end of speculum prevents soiling of the operative field from possible contents of the upper rectum.

  6. The speculum obviates the necessity for drawing the hemorrhoid down with forceps, as high tumors can be treated through speculum.

  7. The speculum protects the rectal tissues while cautery is in use.

  8. The instrument can be introduced, applied, and removed with one hand.

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