. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 203.—Showing Appearance of the Gut with its Excess of Mesentery whichwas not Removed During the Operation of Left Inguinal Colostomy, andwhich Permits the Bowel to Protrude from Slight Straining. 200 and 201 and Plate XXXVII) is seldom encountered incases in which the viscus was made taut from both above andbelow the opening before being stitched to the abdomen andafterward amputated (Fig. 202). In those instances, however,in which the mesentery is long and the excess of gut is notremoved, procidentia
. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 203.—Showing Appearance of the Gut with its Excess of Mesentery whichwas not Removed During the Operation of Left Inguinal Colostomy, andwhich Permits the Bowel to Protrude from Slight Straining. 200 and 201 and Plate XXXVII) is seldom encountered incases in which the viscus was made taut from both above andbelow the opening before being stitched to the abdomen andafterward amputated (Fig. 202). In those instances, however,in which the mesentery is long and the excess of gut is notremoved, procidentia is to be anticipated (Figs. 201 and 203).The prolapse may be single and the protruding gut be either thedescending colon or the sigmoid and rectum; or it may bedouble and include both (Fig. 200 and Plate XXXVII). Theremay be but a slight eversion of mucous membrane or the bowelmay protrude for several inches. The author has seen one casein which sixteen inches of the gut ( centimeters) pro-. iif .^ PLATE XXXVII.—CASE OF DOUBLE PROCIDENTIA OF PART OF DESCENDING COLON AND RECTUM THROUGH ARTIFICIAL ANUS. COLOSTOMY G17 jected through the upper opening. When the intestine cannotbe prevented from prolapsing by astringent appHcations andirrigations or by Hnear cauterization, the abdomen should beopened and a sufficient amount of one or both ends of the gutamputated and the remaining ends sutured to the skin. Another rare complication following colostomy operationsis that in which tJie bozvel appears to move from tlie loiver, orrectal, opening instead of from the descending colon, or upper open-ing. This is a matter of little consequence, however, and iscaused by twisting of the bowel as it was hooked up by thefinger and brought out through the wound. When the skin surrounding the artificial anus becomesexcoriated from an irritating discharge, whether from the bowel,ulcers about the margin of the wound, or from a stitch-abscess,the parts should be cleansed frequently and duste
Size: 1383px × 1808px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
