. Diseases of the rectum and anus: designed for students and practitioners of medicine. Pig. 196.—Removal of Gut with Above Clamp. specially-made, hard-rubber tube, half an inch ( centime-ters) in diameter, is then quickly inserted and the ligature tiedaround its grooved end. The rubber drain is then attached asin Pauls operation. This procedure requires but a few min-utes, during which time but a small amount of gas and fecesescapes. The relief afforded by this procedure is mortality following this method of treating the bowel in COLOSTOMY 607 this class of cases is very m
. Diseases of the rectum and anus: designed for students and practitioners of medicine. Pig. 196.—Removal of Gut with Above Clamp. specially-made, hard-rubber tube, half an inch ( centime-ters) in diameter, is then quickly inserted and the ligature tiedaround its grooved end. The rubber drain is then attached asin Pauls operation. This procedure requires but a few min-utes, during which time but a small amount of gas and fecesescapes. The relief afforded by this procedure is mortality following this method of treating the bowel in COLOSTOMY 607 this class of cases is very much less than it is in those instancesin which the bowel is divided and the two ends of the intestineare stitched to the wound, as is done by some operators. Afterthe latter procedure the wound is almost certain to becomeinfected from the frequent discharge of gas and feces throughand over it. Robson has succeeded in reducing the distension in these. Fig. 197.—Double-Barreled Opening. cases by puncturing the bowel with a trocar and then guidingthe gas and feces away from the wound by attaching a rubbertube to the cannula left in the bowel. This plan, however, ismore dangerous and less reliable than the one practiced byeither Paul or the author. The author would once more emphasize the danger ofopening the bowel before adhesions have formed, except in afew cases in which the distension is alarming. In his experi-
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
