. Surgery, its principles and practice . eration, whenthe stomach is incapable ofperforming its functions ofdigestion, and when thatorgan is the seat of diseasewhich would be aggravatedby the presence of food orits passage through it. Theindications for the operationare discussed in the chapterupon the diseases of thestomach. H. Lempp^*^ has very fully considered them in a recent arti-cle. The technic of the opreation is described in Vol. Ill, pp. 942—944. Appendicos=to my.— Appen-dicostomy is thename applied byWeir to makingan opening inthe appendix af-ter having with-drawn its freeend throug
. Surgery, its principles and practice . eration, whenthe stomach is incapable ofperforming its functions ofdigestion, and when thatorgan is the seat of diseasewhich would be aggravatedby the presence of food orits passage through it. Theindications for the operationare discussed in the chapterupon the diseases of thestomach. H. Lempp^*^ has very fully considered them in a recent arti-cle. The technic of the opreation is described in Vol. Ill, pp. 942—944. Appendicos=to my.— Appen-dicostomy is thename applied byWeir to makingan opening inthe appendix af-ter having with-drawn its freeend through anabdominal incis-ion, and fixed itthere. The tech-nic of the oper-ation is verysimple. The or-dinary incisionthrough the ab-dominal wallhaving beenmade, the ap-pendix is drawn up to tne Skm Piq 401.—Appendicostomy (Moynihan). and fastened to The incision in the skin is made long to show the details of the ? • 1 1 operation. It need not be longer than 1 to li inches when the operation it by suitable is performed during INTESTINAL OPERATIONS. 721 sutures through the peritoneal coat and through the skin. The appendixmay be immediately opened and a tube may be passed into its interior,or the opening may be deferred for twenty-four or thirty-six hours. Weir and others have found appendicostomy of great service in washingout the bowel when chronic inflammatory processes demand irrigationof that part of the tube. Colostomy.—The most frequent indication for the production of acolostomy or artificial communication between the colon and the skin,allowing the fecal matter to be discharged externally, instead of requiringit to pass through the remainder of the bowel is to be found in those dis-eases, such as carcinoma and sarcoma, which permanently impair thefunctions of the rectum and anus. By fecal fistula is understood an opening which, though it allows fecalmatter to pass out upon the skin, does not necessarily force all of thematerial to pass in that direction. A f
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