. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 195.—Herbert Allinghams Colotomy Clamp. three inches ( centimeters) below where it is attached to theskin in order to form a good spur. The author does not divide the bowel, but throws a purse-string suture of silk around the part of the bowel to be wound is protected by placing a piece of gauze under theintestinal loop; the piece of gut encircled by the suture is thenlifted up, grasped, and incised between two catch forceps; a. Pig. 196.—Removal of Gut with Above Clamp. specially-made,
. Diseases of the rectum and anus: designed for students and practitioners of medicine. Fig. 195.—Herbert Allinghams Colotomy Clamp. three inches ( centimeters) below where it is attached to theskin in order to form a good spur. The author does not divide the bowel, but throws a purse-string suture of silk around the part of the bowel to be wound is protected by placing a piece of gauze under theintestinal loop; the piece of gut encircled by the suture is thenlifted up, grasped, and incised between two catch forceps; a. Pig. 196.—Removal of Gut with Above Clamp. specially-made, hard-rubber tube, half an inch ( centime-ters) in diameter, is then quickly inserted and the ligature tiedaround its grooved end. The rubber drain is then attached asin Pauls operation. This procedure requires but a few min-utes, during which time but a small amount of gas and fecesescapes. The relief afforded by this procedure is mortality following this method of treating the bowel in COLOSTOMY 607 this class of cases is very much less than it is in those instancesin which the bowel is divided and the two ends of the intestineare stitched to the wound, as is done by some operators. Afterthe latter procedure the wound is almost certain to becomeinfected from the frequent discharge of gas and feces throughand over it. Robson has succeeded in reducing the distension in these
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
