Modern surgery, general and operative . , 1892. II22 Diseases and Injuries of the Abdomen of skin can be made under the bowel by sutiiring the two skin edges. In orderto make a spur the two parts of the flexure are stitched together by sutureswhich penetrate to and catch the submucous coat. Stitch the serous coat of thebowel to the parietal peritoneum (Fig. 719). Whenever possible, wait from. Fig. 720.—Stevensons bag for inguinal colostomy. twenty-four to forty-eight hours before opening the gut. The colon is openedby the cautery or by scissors. If the artificial anus is to be permanent, makea
Modern surgery, general and operative . , 1892. II22 Diseases and Injuries of the Abdomen of skin can be made under the bowel by sutiiring the two skin edges. In orderto make a spur the two parts of the flexure are stitched together by sutureswhich penetrate to and catch the submucous coat. Stitch the serous coat of thebowel to the parietal peritoneum (Fig. 719). Whenever possible, wait from. Fig. 720.—Stevensons bag for inguinal colostomy. twenty-four to forty-eight hours before opening the gut. The colon is openedby the cautery or by scissors. If the artificial anus is to be permanent, makea transverse incision through the bowel. Cut one-fourth way across thecolon when it is first opened, and entirely across at a later period. If the arti-ficial anus is to be temporary, theincision should be operation has great advan-tages : it is quick, certain, reasonablysafe, satisfactorily prevents fecal ac-cumulation below the opening, andis rarely followed by absolute fecalincontinence. In many cases thebowels move but two or three timesa day. The movements, however,come quickly with but Httle there is no warning. Ifdiarrhea develops, there will be fecalincontinence as long as it lasts. Anair-pad covered with gauze may beheld in place by a firm belt, or theappliance shown in Figs. 720 and 721may be worn. Bodines Operation (Figs. 722,723).—B
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
