. A manual of operative surgery . is clear of the adhesions which surround the sinus. The utmost caution must be observed in opening the abdomen, as a coil of adherent bowel may easily fig. 94.—method of clos-ing AN ARTIFICIAL ANUS. be cut into. a, Eczematous skin around The tip of the finger is introduced fsecai fistula; d, c, skin wound. through one of the lateral cuts, and the part explored. The position of the gut can be made out, and,if it be not closely adherent to the abdominal wall, the tractof the sinus can be traced. The skin wound is now deepened all round, and, guided bythe finger


. A manual of operative surgery . is clear of the adhesions which surround the sinus. The utmost caution must be observed in opening the abdomen, as a coil of adherent bowel may easily fig. 94.—method of clos-ing AN ARTIFICIAL ANUS. be cut into. a, Eczematous skin around The tip of the finger is introduced fsecai fistula; d, c, skin wound. through one of the lateral cuts, and the part explored. The position of the gut can be made out, and,if it be not closely adherent to the abdominal wall, the tractof the sinus can be traced. The skin wound is now deepened all round, and, guided bythe finger which is introduced into the abdominal cavity, iscarried throughout through the peritoneum. There is thusisolated a little oval island, made up of the tissues of the abdominalparietes. Owing to the retraction of the skin, the actual sacrificeof muscular and aponeurotic tissues is small, and the parts con-cerned are usually found to be so modified by inflammation andatrophy that little normal-looking muscle tissue comes into the.


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Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative