[17]. Op. cit., p. 92.
[18]. Op. cit., p. 187.
[19]. "Diseases of the Rectum and Anus," third edition, New York, 1890, p. 294.
[20]. Medical and Surgical Reporter, August 14, 1880.
[21]. In some cases of fissure the irritable condition of the sphincter will cause such contraction of the anus when an examination is attempted that it will be impossible for the surgeon to pass his finger into the rectum without etherization of the patient. In these instances it is best to advise the patient to submit to such operative measures as may be deemed necessary at the same time that the examination is made under ether.
[22]. Allingham, op. cit., p. 212.
[23]. Op. cit., p. 212.
[24]. Bodenhamer, op. cit., p. 100.
CHAPTER III.
TREATMENT, PALLIATIVE AND OPERATIVE.
It is highly important to the success of any plan of treatment directed toward the cure of anal fissure, that attention be paid to the condition of the bowels. Regularity of habit should be established, and the evacuations rendered semi-fluid—as figured or hard stools generally aggravate the symptoms.