The practice of surgery . iously impossible, it werefolly to effect mechanical union and replacement of the part. Aftersuch procedure, the wound must necessarily inflame and open, feculentextravasation is inevitable, and death is almost certain. The woundedpart should be retained at the surface, and, with this view, the peritonealcoat is united with the integument, at the lip of the wound, at one ormore points by suture, and then through the upper orifice of thewounded part the feculent contents discharge themselves condition of Artificial Anus is established; a state of much d
The practice of surgery . iously impossible, it werefolly to effect mechanical union and replacement of the part. Aftersuch procedure, the wound must necessarily inflame and open, feculentextravasation is inevitable, and death is almost certain. The woundedpart should be retained at the surface, and, with this view, the peritonealcoat is united with the integument, at the lip of the wound, at one ormore points by suture, and then through the upper orifice of thewounded part the feculent contents discharge themselves condition of Artificial Anus is established; a state of much dis-comfort, and not altogether devoid of danger, but infinitely preferableto fatal peritonitis by feculent escape within the cavity of the , the local treatment differs according to the nature of each in all, the constitutional treatment is the same; rest and quietude;starvation; free venesection or leeching, or both, on the first onset ofoveraction; then calomel and opium—the latter in large The Glovers, or continued Suturein wound of the Bowel. ARTIFICIAL ANUS. 371 Artificial Anus. By this term is meant an unnatural outward opening of the intestinalcanal, whence fecal contents are more or less copiously discharged. Itmay be the result of wound, of abscess and ulceration, or of sloughingconsequent on strangulated hernia. By plastic exudation, the open portionof bowel is retained in contact with the abdominal parietes ; and thefollowing condition of parts becomes established. The orifice of theupper or gastric portion remains abundantly patent, and not unfre-quently, troublesome prolapsus of its lining membrane occurs ; the ori-fice of the lower or rectal portion contracts, is not patulous, and recedesfrom the external surface; the two portions have a dense septum inter-posed between them—composed mainly of the two contiguous portionsof the coats of the bowel; and this becomes more and more solid, andmore and more opposed to restoration of the n
Size: 1289px × 1939px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
