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The subject of hemorrhoids often prefers to bear those ills he has than fly to that relatively desperate refuge afforded by general anesthesia and be relieved. As a consequence he may become a crank or an invalid. He receives little sympathy and less help, often.
The non-malignant anal growths may be removed painlessly without resort to general anesthesia by means of the technic presently to be described, provided it be performed by the trained hands of an operator who thoroughly understands the principles of infiltration-anesthesia, and who, furthermore, has been sufficiently persevering to master the difficulties encountered in the application of these principles to this operation.
The clamp, Fig. 1. consists of a hollow cone three and one-quarter inches in length and three-quarters of an inch in diameter at its distal extremity, and one and three-quarter inches in diameter at its proximal end. One quadrant of the cone is fenestrated,
MARTIN TC. A NEW METHOD FOR THE REMOVAL OF INTERNAL HEMORRHOIDS UNDER LOCAL ANESTHESIA.. JAMA. 1902;XXXVIII(17):1076–1078. doi:10.1001/jama.1902.62480170030001h
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