. American practice of surgery ; a complete system of the science and art of surgery . - delay, a general anaesthetic, ^^hen the protruded bowel hasbecome gangrenous and shows a disj)osition to slough, great care should betaken to ascertain the depth of the slough, as it would be dangerous to reduceit if the walls of the bowel are likely to give way and establish an opening intothe peritoneal cavity. In such cases immediate amputation should be resorted. Fig. 366.—Rectopexy for Procidentia Recti; the Bowel Inverted and brought through the Inci-sion; the Sutures Passed through the Muscular Wall
. American practice of surgery ; a complete system of the science and art of surgery . - delay, a general anaesthetic, ^^hen the protruded bowel hasbecome gangrenous and shows a disj)osition to slough, great care should betaken to ascertain the depth of the slough, as it would be dangerous to reduceit if the walls of the bowel are likely to give way and establish an opening intothe peritoneal cavity. In such cases immediate amputation should be resorted. Fig. 366.—Rectopexy for Procidentia Recti; the Bowel Inverted and brought through the Inci-sion; the Sutures Passed through the Muscular Wall. (Tuttle: Diseases of the Anus, Rectum, andPehic Colon. D. AjDpleton & Co., New York.) to and the lower end of the upper segment fixed to the margin of the anus bysutures. \^Tien the prolapsed bowel has been reduced, the buttocks should be strappedtogether and the patient kept in the recumbent position. Operative Procedures.—It is evident that the method to be selected will de-pend upon the degree of the prolapse. In complete prolapse of the first and second degrees we have to deal witheither mpture or elongation of the bundles of connective tissue which passfrom the lower end of the rectmn to the coccyx, the sacnmi, and the prostate(or the vagina), and at the same time also with muscular atony or relaxation. 884 AMERICAN PRACTICE OF SURGERY Man} methods have been devised for restoring these connective-tissue sup-ports, and among them th
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
