Operative surgery . he trne nature of the case, therefore, a careful andextended examination should always be practiced. In some instances therectal pouch is high in the pelvis or abdomen, when the interval between itand the perinaeum is a distinct fibrous cord (Fig. 1167). Not infrequentlythe rectum communicates with the bladder (Fig. 1201), sometimes with theurethra (Fig. 1202), and even the glans penis (Fig. 1203), conditions whichare determined by the character of the urine. Female children suffer fromcongenital abnormal outlets of the rectum and anal communications ( and 1205). P
Operative surgery . he trne nature of the case, therefore, a careful andextended examination should always be practiced. In some instances therectal pouch is high in the pelvis or abdomen, when the interval between itand the perinaeum is a distinct fibrous cord (Fig. 1167). Not infrequentlythe rectum communicates with the bladder (Fig. 1201), sometimes with theurethra (Fig. 1202), and even the glans penis (Fig. 1203), conditions whichare determined by the character of the urine. Female children suffer fromcongenital abnormal outlets of the rectum and anal communications ( and 1205). Prompt diagnosis and prompt treatment are essential tosuccess in these cases in all instances of complete occlusion. In incomplete UPKUATIONS ()X IlIK AXIS AND [{KCIIM. 971 occlusion, witli (li-i!)l)liiii: <f intestiiuil contents, notliinrili;ips in iliose cavses with a vesical or urethral opening. Itshould be recalUil that tlie operations are addressed in every instance to. Fig. 1201.—Absence of anus and lower part Fig. 1202.—Absence of anus and lower partof rectum, rectum opening into bladder. of rectum, rectum opening into urethra. infantile dimensions. The diameters between the important bony promi-nences which serve as guides are scarcely more than an inch in any instance.
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
