Anal speculum image
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Description:This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract A rectal speculum combining both a direct and a lateral view without removal and reinsertion of the speculum is of advantage both in examining the rectum and in operative work. The instrument I use is essentially a short, split, circular tube provided with an obturator and also with a hinge joint on its inferior surface; the handles controlling the sides are kept apart by a spring between them or in any intermediate position between "open" and "closed" by means of the automatic rachet-way between the handles. A long lip on the edge of the rachet-bar effectually prevents pinching of the mucosa on withdrawing the instrument, as complete closure cannot be made except by deliberate attempt.
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