. Diseases of the rectum and anus: designed for students and practitioners of medicine. ment 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 metho
. Diseases of the rectum and anus: designed for students and practitioners of medicine. ment 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 surgeonswho proposed them. Herbert W. Allinghams Method.—A good knuckle of gutbeing pulled through the wound with the finger and thumb,the mesentery is made out behind the intestine. A needlethreaded with carbolized silk is next passed through the skinon the outer edge of the abdominal opening, then through themesentery behind the bowel, back again through the mesen-. Fig. 199.—Forming the Spur. tery, and is then tied to the end which had previously gonethrough the skin (Fig. 199). Maydls Method. — Because of its simplicity and effective-ness Maydls procedure has always been a great favorite, andis known as the glass-rod operation. It consists in passing aglass rod through the mesentery just below the intestinal loop,in order to form a spur and prevent the bowel from falling backinto the abdomen. The intestine is then sutured to the skinand the peritoneum, which had already been brought up andfastened. Weir has modified Maydls operation by suturing the legsof the loop together below the glass rod, which makes the spurmore effective. Kelseys Method of anchoring the gut by means of a hare-lip-pin passed through the skin, peritoneum, mesentery, andperitoneum and skin on the opposite side at the junction of the COLOSTOMY 609 Upper and middle thirds of the incisi
Size: 2061px × 1212px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
