The practice of surgery . A B c Fig. 34.—Imperforate anus T\-ith different cloacal openings (male): A, Terminat-ing in bladder; B, terminating in the urethra; C, terminating at the meatus(Esmarch). bowel from the skin, meconium may be seen through it, or an impulsemay be felt when the child cries. In such case rupture with the fingeror aspiration of the bowel through the anus, and drainage for a few dayswith catheter or gauze, will establish a cure, care being taken that theopening is kept patent by daily stretching.^ The second type of imperforate anus is far more difficult of treat-ment, and
The practice of surgery . A B c Fig. 34.—Imperforate anus T\-ith different cloacal openings (male): A, Terminat-ing in bladder; B, terminating in the urethra; C, terminating at the meatus(Esmarch). bowel from the skin, meconium may be seen through it, or an impulsemay be felt when the child cries. In such case rupture with the fingeror aspiration of the bowel through the anus, and drainage for a few dayswith catheter or gauze, will establish a cure, care being taken that theopening is kept patent by daily stretching.^ The second type of imperforate anus is far more difficult of treat-ment, and the mortality is far higher. If bulging outward can beseen, the surgeon should make a median anteroposterior incision fromthe scrotum or vulva to the coccyx. The incision must be exactly inthe middle line, so as to divide the external sphincter at the the bowel may be entered, after which it is carefully washed outand the mucous membrane stitched to the skin. A high closure of the rectum presents a still mor
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
