Recent discoveries and improved technic in the use of local analgesics have enabled us to treat as ambulatory cases many patients suffering from various forms of minor ano-rectal diseases whom we formerly sent to the hospital for treatment. This ofttimes obviates the necessity of putting aside all business and social obligations and of making a two or more weeks' stay in a hospital, with all its attendant anxieties and embarrassments. Such patients, with few exceptions, are now operated on at the office or at the patient's home. Before operating, if there are no contraindications, about the only question asked the patient is: "Did your bowels move to-day?" If so, and if an operation is indicated or necessary, and the patient so desires, the field is prepared and the operation is performed, either a normal salt solution or a eucain-adrenalin solution being used as the local analgesic.
In my first experiments
PENNINGTON JR. NORMAL SALT SOLUTION AND OTHER LOCAL ANALGESICSIN THE OFFICE TREATMENT OF ANO-RECTAL DISEASES. JAMA. 1905;XLIV(14):1093–1095. doi:10.1001/jama.1905.92500410017001d
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