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The Mayo Clinic monograph on proctoscopic examination describes the methods of diagnosis and treatment of the rectal diseases at the Clinic. The first three chapters explain in detail their various instruments and methods of examining patients.
Under "Etiology of Hemorrhoids" the author considers the various factors and is of the opinion that infection plays the important rôle. Other proctologists believe that physical factors play a much more important part. The author considers sacral block as the anesthesia of choice because of better relaxation. From the reviewer's experience, complete relaxation can be obtained by circular infiltration with procaine hydrochloride. The chapter on "Hemorrhoidectomy" carefully describes the surgical procedures used by the author, and stresses the importance of postoperative care. Under "Treatment by Nonsurgical Methods" the technic is explained, along with the various solutions used and the complications following this method of treatment of hemorrhoids.
The various theories of pruritus ani are
Proctoscopic Examination and the Treatment of Hemorrhoids and Anal Pruritus. Arch Intern Med (Chic). 1932;50(6):960. doi:10.1001/archinte.1932.00150190162017
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