. Diseases of the rectum and anus: designed for students and practitioners of medicine. perations are few,and rarely cause serious trouble when the operation has beenproperly performed. The most frequent complications arestricture and procidentia. A strictured condition of the new anusmay result from the opening having been made too small atfirst, or it may be caused by undue contraction following the 616 DISEASES OF THE RECTUM AND ANUS formation of large scars, the latter condition being a frequentsequel of the operation when made upon negroes or dark-skinned individuals. In most cases the co
. Diseases of the rectum and anus: designed for students and practitioners of medicine. perations are few,and rarely cause serious trouble when the operation has beenproperly performed. The most frequent complications arestricture and procidentia. A strictured condition of the new anusmay result from the opening having been made too small atfirst, or it may be caused by undue contraction following the 616 DISEASES OF THE RECTUM AND ANUS formation of large scars, the latter condition being a frequentsequel of the operation when made upon negroes or dark-skinned individuals. In most cases the contraction occuisslowly, and does not cause much annoyance for several months,at which time the opening becomes so small that the solid fecesare retained and the liquid constantly dribbles through theopening. In such cases the opening should be stretched withthe finger or bougie, or enlarged to the desired size by one ormore incisions. In extreme cases it may be necessary to detachthe bowel and move the anus to some other point. Prolapse of the bowel through an artificial anus ( Fig. 203.—Showing Appearance of the Gut with its Excess of Mesentery whichwas not Removed During the Operation of Left Inguinal Colostomy, andwhich Permits the Bowel to Protrude from Slight Straining. 200 and 201 and Plate XXXVII) is seldom encountered incases in which the viscus was made taut from both above andbelow the opening before being stitched to the abdomen andafterward amputated (Fig. 202). In those instances, however,in which the mesentery is long and the excess of gut is notremoved, procidentia is to be anticipated (Figs. 201 and 203).The prolapse may be single and the protruding gut be either thedescending colon or the sigmoid and rectum; or it may bedouble and include both (Fig. 200 and Plate XXXVII). Theremay be but a slight eversion of mucous membrane or the bowelmay protrude for several inches. The author has seen one casein which sixteen inches of the gut ( centimeters) pro
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
