The practice of surgery . on for fecal fistula or artificial anus (after Bickham). all its contents. It leaves collapsed the portion of intestine , the surgeon forms it for the purpose of shunting off per-manently the fecal stream above an old obstructing cancer. In asubsequent paragraph I shall describe the method of constructing it. The treatment of fecal fistula is to close it by operation. To do thissuccessfully and rationally one must open the abdomen, and makea lozenge-shaped incision surrounding and cutting out the fistula. Thefistula, with its attendant loop of bowel, is
The practice of surgery . on for fecal fistula or artificial anus (after Bickham). all its contents. It leaves collapsed the portion of intestine , the surgeon forms it for the purpose of shunting off per-manently the fecal stream above an old obstructing cancer. In asubsequent paragraph I shall describe the method of constructing it. The treatment of fecal fistula is to close it by operation. To do thissuccessfully and rationally one must open the abdomen, and makea lozenge-shaped incision surrounding and cutting out the fistula. Thefistula, with its attendant loop of bowel, is then drawn outside theabdominal cavity, and a portion of bowel corresponding somewhatto the excised skin is removed, leaving a longitudinal slit. Close thisslit in the bowel with a double row of Lembert stitches, and returnthe gut to the peritoneal cavity. The abdominal wound is sewed up, FECAL FISTULA AND ARTIFICIAL ANUS 85 leaving a small drain down to the injured intestine. The drain maybe removed in forty-eight Fig. 29.—Operation for remote fecal fistula. Step 1: showing wide skin dissection. r
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
