The Barbarity of Circumcision as a Remedy for Congenital AbnormalitySnow, Herbert
Philosophy
The Barbarity of Circumcision as a Remedy for Congenital Abnormality
Snow, Herbert
Circumcision; Penis -- Abnormalities
This operation is still not practised often enough, especially
among poorer patients; amongst whom many practitioners still treat
phimosis as a matter of but little importance.
Some of the pretensions set forth above on behalf of circumcision will
be subsequently referred to; but on the plea for a general extension of
the rite to nations not impelled thereto by special Divine command, it
may be remarked that several Jewish surgeons who have written upon the
topic by no means regard this with an eye of favour; and have, in fact,
gone even so far as to denounce in the strongest terms its compulsory
performance among their co-religionists.[12]
For their dislike, they advance what appear to be very adequate reasons;
and, in such a matter they must have enjoyed a far wider special
experience than any practitioner without the Hebrew pale.
The following extract from Erichsen's _Science and Art of Surgery_
(Ninth Edition, 1888) may be regarded as a typical account of the
ordinary surgical operation in vogue at the present day. The italics are
the present writer's:
Circumcision in boys or adults may be most conveniently performed
in the following way. The surgeon restrains hæmorrhage during the
operation by tying a tape tightly around the root of the penis, or
by compressing the organ in Clover's circumcision tourniquet, a
most useful instrument, which can be slackened or tightened at any
time. He next draws the elongated prepuce slightly forwards, until
the portion of it which corresponds to the back of the glans is
brought just in front of that structure. He then seizes the
projecting prepuce immediately in front of the glans with a pair of
narrow-bladed polypus-forceps, which he gives to an assistant, who
must hold them tightly; or he grasps it and protects the glans by
means of a plate which I have had constructed for this purpose.
With one sweep of the bistoury he cuts off all that portion of the
integument which projects beyond the forceps, which are then taken
away. It will now be found that he has removed only a circle of
skin, but that the mucous membrane lining it still tightly embraces
the glans; this he slits up, by introducing the point of a pair of
scissors at the preputial orifice; and then, trimming off the
angles of the flaps, he turns back the mucous membrane and attaches
it to the edge of the cutaneous incision by a sufficient number of
fine catgut sutures. Before introducing these, he will generally
find it necessary _to ligature a small artery on each side of the
penis, and one or two in the frænum_. The best dressing in children
will be some simple ointment, such as boracic acid ointment, or the
glans may be simply smeared with a little vaseline. After every act
of micturition the parts should be well sponged with boracic acid
lotion or Condy's fluid and water.
Public-domain text, read in full here on John Shaqi.
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