. Diseases of the rectum and anus: designed for students and practitioners of medicine. 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-. Fig. 198.—Removal of Gut Above the Skin.
. Diseases of the rectum and anus: designed for students and practitioners of medicine. 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-. Fig. 198.—Removal of Gut Above the Skin. ence, the mortality following the establishment of artificial aniin cases in which the bowel was opened during or shortly fol-lowing the operations has been very much higher than whenthis part of the operation was delayed for several days. The formation of an efficient spur is by far the most impor-tant step in the establishment of a successful artificial consists in producing such an angtdation of the gut thatit is impossible for the feces to find their way into the rectum. 608 DISEASES OF THE RECTUM AND ANUS Unless this is accomplished and the bowel is given absolute restfrom the passage over it of fecal matter, the operation is a fail-ure and the condition of the patient much more deplorable thanif he had been let alone. There are many ways of procuring asuitable spur, but the author will describe only those methodswhich have attracted the most attention either as a result oftheir usefulness or because of the prominence of the su
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
