Operative surgery . al an artificial anus be the desideratum, seize the loop of intestine with mouse-toothed forceps, and with scissorsremove the wall of the bowel to withinhalf an inch of the line of stituring, ar-resting the bleeding points as they arise ;divide the bowel through transversely inthe line of the rod, permitting the lowersegment to retract; remove the suturesfirst applied and stitch the end of theupper segment to the integumentaryborders of the wound. If only a tem-porary faecal fistula is desired, make ashort, longitudinal incision at the con-vex surface of the loop


Operative surgery . al an artificial anus be the desideratum, seize the loop of intestine with mouse-toothed forceps, and with scissorsremove the wall of the bowel to withinhalf an inch of the line of stituring, ar-resting the bleeding points as they arise ;divide the bowel through transversely inthe line of the rod, permitting the lowersegment to retract; remove the suturesfirst applied and stitch the end of theupper segment to the integumentaryborders of the wound. If only a tem-porary faecal fistula is desired, make ashort, longitudinal incision at the con-vex surface of the loop, remove the jiri-mary sutures, and join the borders of theintestinal incision at three or four pointswith the integumentary borders of the wound. The rod is removed in aweek or ten days and the sutures taken away. The bowel then falls down-ward into place, retraction obliterates the spur, and more or less of thefaecal flow resumes the natural channel, and thus it continues until curedbv natural or artificial Fiu. 891.—Tliac coloMomy, bowel raisedup atid supported by a firm roll ofiodoform gauze (Fig. 963).


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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya