. Diseases of the rectum and anus: designed for students and practitioners of medicine. 2 decimeters) ofgut on the outside of the abdomen. A supportive stitch v/as then passedthrough the mesentery near the gut on one side of the loop, and the sameway on the other, thus including all the mesentery; it was then passed backthrough the skin of the same side and tied. The two portions of the gut form-ing the loop were thus brought into contact. This insured a good interrupted sutures were taken to fasten the intestine to the ab-dominal wall. The dressing consisted in covering the gut a
. Diseases of the rectum and anus: designed for students and practitioners of medicine. 2 decimeters) ofgut on the outside of the abdomen. A supportive stitch v/as then passedthrough the mesentery near the gut on one side of the loop, and the sameway on the other, thus including all the mesentery; it was then passed backthrough the skin of the same side and tied. The two portions of the gut form-ing the loop were thus brought into contact. This insured a good interrupted sutures were taken to fasten the intestine to the ab-dominal wall. The dressing consisted in covering the gut and abdomen withoil-silk smeared with vaselin; over this iodoform gauze and cotton, whichwere held in place by a snug bandage. The patient was put to bed and recovered from the anesthetic in half anhour, suftering but little pain. I did not see her again until 11 oclock atnight: some eight hours after the operation. The nurse informed me thatshe had been vomiting, but otherwise had been very comfortable. I makeit a rule in all colostomy cases to remove the bandage each time I see the. Fig. 119.—Appearance of Gut Before Removal. patient, to be certain all is well. When I did so in this case the abdomen wasfound covered with coils of small intestines which had slipped out beside thecolon, where a stitch had given way. They were still warm, for the reasonthat the oil-silk had retained the heat. They were immediately bathed withcarbolized Avater, replaced, and the opening packed with gauze to prevent arecurrence of the prolapse. The next morning her pulse and temperature werenormal and continued so until she was discharged. The first two days shesuffered some from gas, but received immediate relief on the third day, whenthat portion of the colon outside the abdomen (Fig. 119) was removed. From this time on her recovery was uninterrupted, but was delayed some-what on account of retraction of the gut. One year after the operation shewas perfectly comfortable, her bowel acted but onc
Size: 1920px × 1302px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
