. Manual of operative surgery. nt to produce considerable constipa-tion and if possible solid stools. Protect the skin by ointments. After a week 462 OPERATIONS ON THE INTESTINES or more there will be much improvement. Before operation do not purge, butempty the gut by lavage. Step I.—Cleanse the skin around the fistula and scrub the fistula the fistulous opening with the thermocautery, liquid carbolic acid, orpure formalin. Close the opening tightly with a purse-string suture afterpacking it with a small plug of gauze. A suture is inserted in the skin, andwhen tied prevents s
. Manual of operative surgery. nt to produce considerable constipa-tion and if possible solid stools. Protect the skin by ointments. After a week 462 OPERATIONS ON THE INTESTINES or more there will be much improvement. Before operation do not purge, butempty the gut by lavage. Step I.—Cleanse the skin around the fistula and scrub the fistula the fistulous opening with the thermocautery, liquid carbolic acid, orpure formalin. Close the opening tightly with a purse-string suture afterpacking it with a small plug of gauze. A suture is inserted in the skin, andwhen tied prevents soiling of the neighborhood by intestinal contents (, L). Once more cleanse the field of operation. Step 2.—Make an incision through the parietes at a point above, below, orto the side of the fistula, and open the abdominal cavity. In choosing whereto make this incision endeavor to find a spot close to the fistula where the tissuesare not much altered, and where the viscera are not adherent to the
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