Abstract
1. 1. A prophylactic hemostatic primary anorectal dressing has been described. 2. 2. The method of application of this dressing is most important. 3. 3. Sulfathiazole or sulfanilamide powder rubbed into the wound at the time of operation is the prophylactic portion of the dressing. 4. 4. Oxidized cellulose gauze has specific hemostatic properties sufficient to control hemorrhage when applied directly to an oozing surface; when bleeding is free, definite fixation of dressing and constant pressure should be added. If a free spurter is present, a ligature should be applied. 5. 5. Oxidized cellulose gauze saturated with blood turns dark brown and becomes friable. A thin, moist film is formed around the gauze within twenty-four hours, making removal easy without starting of bleeding. The tissue is left dry with little or no edema. 6. 6. The thin waist film or coat of coagulum around the oxidized cellulose gauze pack permits early expelling of gas around the dressing. 7. 7. An oxidized cellulose gauze pack if left in the tissue is absorbable.
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