Operative surgery . method, ligature surrounding the stricture and^with a. Blade or clamp passing into , , , , ° sigmoid flexure througli anas- both ends hanging from the anus. The ends tomotic opening, h. Stricture, are tied together and the loop kept in place for c, c. Supplementary sutures. ,^ . ° , ,, ^ ^ ^ . d. Rectum, e. Sigmoid flexure. about three months to secure a continu- ous tract ( /), after which the suture is with-drawn, a grooved director inserted along its course, and the intervening tissuedivided freely with the cautery into the rectum, thus severing the stricture. The Remark
Operative surgery . method, ligature surrounding the stricture and^with a. Blade or clamp passing into , , , , ° sigmoid flexure througli anas- both ends hanging from the anus. The ends tomotic opening, h. Stricture, are tied together and the loop kept in place for c, c. Supplementary sutures. ,^ . ° , ,, ^ ^ ^ . d. Rectum, e. Sigmoid flexure. about three months to secure a continu- ous tract ( /), after which the suture is with-drawn, a grooved director inserted along its course, and the intervening tissuedivided freely with the cautery into the rectum, thus severing the stricture. The Remarks.—The idea is to establish, by means of the fistula, a tractwhich will remain unhealed after division of the intervening tissues, thuspreventing their union and the subsequent return of the constriction. The free drainage prevents infection and little or no annoyance attendsthe treatment. The jjatient is usually kept in bed a week after the insertionof the seton and another week after division of the (>im:ua rioNs on Tiih: ants and i{K(ir:\i. 087 ^^mmm/ff^.^ % # .-.^^ ^^. % %
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
