. Diseases of the rectum and anus: designed for students and practitioners of medicine. een the internal oblique and the transversalis abdominis. Hehas noticed but little, if any, difference in the results obtainedfrom the different procedures. Furthermore, the results fol-lowing Baileys operation and those following Witzels method,in which the gut is carried under the skin and brought outbehind the crest of the ilium, have not, in the authors hands COLOSTOMY 615 been entirely satisfactory. Absolute continence cannot be pro-duced by any of these methods. They serve to diminish leak-age, howeve
. Diseases of the rectum and anus: designed for students and practitioners of medicine. een the internal oblique and the transversalis abdominis. Hehas noticed but little, if any, difference in the results obtainedfrom the different procedures. Furthermore, the results fol-lowing Baileys operation and those following Witzels method,in which the gut is carried under the skin and brought outbehind the crest of the ilium, have not, in the authors hands COLOSTOMY 615 been entirely satisfactory. Absolute continence cannot be pro-duced by any of these methods. They serve to diminish leak-age, however, by allowing pressure to be made both upon asection of the bowel beneath the skin and over the compression can be made by means of a pad of gauze,supported by a bandage, or by any one of the many trussesdevised for the purpose. One of the best appliances used by the authors patients hasbeen a dumb-bell-like apparatus, consisting of two small rubberballs joined by a neck; one of these bulbs is placed in thelower end of the descending colon and the other left to the out-. Fig. 202.—Appearance of the Intestine where the Excess of Both Boweland Mesentery has been Removed to Prevent Procidentia. side; they are now inflated by means of a connecting tube,and as a result the abdominal wall is clamped between the twoballs and the feces are effectively retained until they are re-moved. The only objection to this is the slight inconveniencecaused by pressure. COMPLICATIONS AND SEQUELS The complications following colostomy operations are few,and rarely cause serious trouble when the operation has beenproperly performed. The most frequent complications arestricture and procidentia. A strictured condition of the new anusmay result from the opening having been made too small atfirst, or it may be caused by undue contraction following the 616 DISEASES OF THE RECTUM AND ANUS formation of large scars, the latter condition being a frequentsequel of the operation when made upon neg
Size: 1686px × 1482px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
