. Diseases of the rectum and anus: designed for students and practitioners of medicine. ite. was closed by freeing the ends of the gut from their abdominalattachments, trimming them off, and making an end-to-endanastomosis with the Murphy button. The patient made aprompt recovery. From the date when she was first alloweda solid diet her evacuations were normal in frequency and con-sistency, and she suffered no inconvenience whatever from theestablishment of the artificial anus. Technic of Left Inguinal Colostomy.—The patient, havingbeen prepared as for any other abdominal operation, is placedf
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ite. was closed by freeing the ends of the gut from their abdominalattachments, trimming them off, and making an end-to-endanastomosis with the Murphy button. The patient made aprompt recovery. From the date when she was first alloweda solid diet her evacuations were normal in frequency and con-sistency, and she suffered no inconvenience whatever from theestablishment of the artificial anus. Technic of Left Inguinal Colostomy.—The patient, havingbeen prepared as for any other abdominal operation, is placedflat upon his back and anesthetized with chloroform, or localanesthesia may be employed if preferred. A two-and-one-half inch ( centimeters) incision is COLOSTOMY 591 made about two inches ( centimeters) to the inner side ofthe left anterior superior iliac spine and almost perpendicularlyto an imaginary line from the spinous process to the umbilicus,one-third of the incision being above and two-thirds below thisHne (Fig. 184, A). The cut is carried through the skin and eel-. Fig. 185.—Longitudinal Bands and Appendices Epiploicas. lular tissue down to the abdominal musculature at one muscles being exposed, their fibers are separated zvithoutcutting, as suggested by Maydl; the muscles are recognizedby the direction of their fibers, those of the external obliquepassing downward and inward; those of the internal obhque, Colon Withno mesentery Vertehralcolumn
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
