Harm of a large wound and its prevention

If the wound made in bhagandara becomes very large, faeces, urine and semen escape through it and the tract worsens; so the surgeon must never make it large, for it then tears the anus, and wind escaping from the torn anus causes colic and distension. The incision is planned after judging the kind of swelling and shaped like a half-plough (ardhalangala) or a cow's trail (gotirtha), which footnotes and a verse quoted from another work explain. Verse 60 adds that a painful torn anus is sprinkled with lukewarm oil and the patient sits in steaming water boiled with vata-reducing drugs.