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May 4, 1912


JAMA. 1912;LVIII(18):1352-1354. doi:10.1001/jama.1912.04260050028010

The suggestion of employing tap water in the place of the usual so-called normal saline solution was first brought forward by Dr. George B. Lawson, in 1908, and to him is largely due any credit which might result from this study.

A glance at the literature1 on proctoclysis reveals so many appliances that a review would in itself constitute an article.

We, of the Jefferson Surgical Hospital, have used the visible dropper first described in The Journal2 in the majority of cases. Also a small soft rubber catheter has taken the place of the hard nozzle of Murphy except in cases in which the patient's power of resistance was so low the discomfort of the hard plug was not painful, and in those cases in which it was desirable to insert large quantities of tap water, or solution.

Proctoclysis has been employed in all the cases, except those

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