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June 22, 1889


JAMA. 1889;XII(25):876-878. doi:10.1001/jama.1889.02401020012002

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SURGICAL CLINICS AT THE WESTERN PENNSYLVANIA HOSPITAL BEFORE THE STUDENTS OF THE WESTERN PENNSYLVANIA MEDICAL COLLEGE.  BY PROFESSOR J. B. MURDOCH,SURGEON TO THE WESTERN PENNSYLVANIA HOSPITAL AND PROFESSOR OF CLINICAL SURGERY IN THE WESTERN PENNSYLVANIA MEDICAL COLLEGE.[Reported by Will. N. Pringle, M.D., a member of the Graduating Class.]February 9, 1889.THE TREATMENT OF HÆMORRHOIDS.I have a patient to show you to-day with that very prevalent disease, namely, hæmorrhoids. Now as you know there are two principal varieties of hæmorrhoids, the internal and the external, and those two varieties have their seats in the two plexuses of hæmorrhoidal veins. The inferior plexus is situated just within the sphincter ani, and empties its blood into the illiac veins, and then through the inferior vena cava to the heart. The superior plexus is situated about one inch above the inferior plexus, and empties its blood, via the portal system,

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