. A manual of gynæcology and pelvic surgery, for students and practitioners. Pig. 282. Fig. 281.—Fecal fistula in midline below umbilicus. Location of skin incision. Fig. 282.—Fecal fistula. The abdomen has been opened where it is free fromadhesions. The incision is prolonged alongside the fistula and the involved coilgradually withdrawn. In these, the skin should be carefully sterihzed, the fistuloustract cauterized at its exit and tightly packed with abdomen is then cautiously opened at a point from whichadhesions presumably are absent. Adhesions should now be separated and the inc
. A manual of gynæcology and pelvic surgery, for students and practitioners. Pig. 282. Fig. 281.—Fecal fistula in midline below umbilicus. Location of skin incision. Fig. 282.—Fecal fistula. The abdomen has been opened where it is free fromadhesions. The incision is prolonged alongside the fistula and the involved coilgradually withdrawn. In these, the skin should be carefully sterihzed, the fistuloustract cauterized at its exit and tightly packed with abdomen is then cautiously opened at a point from whichadhesions presumably are absent. Adhesions should now be separated and the incision enlargedalongside the fistula until the involved coil is demonstrated,when it is loosened thoroughly and brought outside the ab-domen. Sometimes the opening in the bowel is small and canbe closed with two rows of sutures over which a graft of omen- 636 POST-OPERATIVE COMPLICATIONS AND SEQUELAE turn is tacked with two or three stitches; at others the whole ofthe coil will need to be resected to get rid of a narrowed por-tion, or the opening will be so large and t
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