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  Vol. 59 No. 4, October 1949 TABLE OF CONTENTS
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INTRAVENOUS ADMINISTRATION OF PROCAINE HYDROCHLORIDE FOR PAINFUL PROLAPSED HEMORRHOIDS

BURNETT SCHAFF, M.D.; J. GORDON SPENDLOVE, M.D.

Arch Surg. 1949;59(4):825-829.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PROLAPSED hemorrhoids are usually excruciatingly painful, yet unless strangulation ensues most surgeons prefer not to operate until the marked edema has subsided. During this period of waiting, which may last several weeks, the discomfort is often extreme. Although some relief may be afforded by putting the patient to bed, administering narcotics and applying heat or analgesic ointments locally, the severe pain frequently persists, and locomotion becomes difficult To relieve the sufferings of these unhappy persons, a 1: 1,000 solution of procaine hydrochloride was injected intravenously. This is a report of our experience with that method of treatment.

All the patients studied were men admitted for the treatment of severe pain in the anal region. Two types of pain appeared to be present—a sharp radiating pain and a dull pain localized in the anal region but increased by motion of the thighs. All the patients exhibited prolapsed hemorrhoids associated with edema . . . [Full Text PDF of this Article]


Author Affiliations

OTEEN, N. C.

From the Department of Surgery, Veterans Administration Hospital, Swannanoa, N. C.


Footnotes

Published with the permission of the Chief Medical Director, Department of Medicine and Surgery, who assumes no responsibility for the opinions expressed or conclusions drawn by the author.



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