The Practitioner . scribed upderpermanent enterostomy; and a tube put into the distendedbowel just above the growth, to relieve the obstruction. Thegrowth is removed later, and an immediate enterorrhaphyperformed ; or the artificial anus closed by a plastic extra-peritoneal operation after reduction of the spur. An actualcase is illustrated in Fig. 12, representing one of obstructionfrom cancer of the ileo-csecal valve determined by mediancaeliotomy. The involved gut was then brought out in theright iliac fossa and drained just above the obstruction. Thephotographs show the bowel just before a
The Practitioner . scribed upderpermanent enterostomy; and a tube put into the distendedbowel just above the growth, to relieve the obstruction. Thegrowth is removed later, and an immediate enterorrhaphyperformed ; or the artificial anus closed by a plastic extra-peritoneal operation after reduction of the spur. An actualcase is illustrated in Fig. 12, representing one of obstructionfrom cancer of the ileo-csecal valve determined by mediancaeliotomy. The involved gut was then brought out in theright iliac fossa and drained just above the obstruction. Thephotographs show the bowel just before and during the excisionwhich was performed without a general anaesthetic other thanan injection of morphia. In the other type, enterostomy is performed, leaving thegrowth in situ ; and after the patient has well recovered fromthe effects of the obstruction, the enterectomy is recent case, in which I first employed my enterostomy tubein the caecuni, and six davs after excised about 10 inches of Plate X1\.. ,. II, Method of using the Authors entercctomy forceps. (In the middle figure there arc two apposed pieces of bowel close together, though not clearly indicated.) Plate XV.
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Keywords: ., bookcentury1800, bookde, bookpublisherlondon, booksubjectmedicine
