The practice of surgery . Fig. 29.—Operation for remote fecal fistula. Step 1: showing wide skin dissection. r. Fig. 30.—Step 2 : Skin-flap retracted, line of incision in muscle. All fistulse may not be dealt with so easily, owing to a tortuouschannel adhering to and involving various structures. In such case 86 THE ABDOMEN the surgeon may open the abdomen at a point outside of the area im-mediately affected, may search for the afferent and efferent hmbsleading to and from the fistula, may resect them, and unite their cutends to each other, or may treat them by entero-anastomosis. Ineither cas
The practice of surgery . Fig. 29.—Operation for remote fecal fistula. Step 1: showing wide skin dissection. r. Fig. 30.—Step 2 : Skin-flap retracted, line of incision in muscle. All fistulse may not be dealt with so easily, owing to a tortuouschannel adhering to and involving various structures. In such case 86 THE ABDOMEN the surgeon may open the abdomen at a point outside of the area im-mediately affected, may search for the afferent and efferent hmbsleading to and from the fistula, may resect them, and unite their cutends to each other, or may treat them by entero-anastomosis. Ineither case the side-tracked intestine must be closed up lest it serveas a pouch for fecal accumulations which will keep the fistula after-treatment of these cases does not differ from that given toany case of enterectomy. The formation of artificial anus may be accomplished V)y sundrymethods, but in all the surgeons effort must be to provide for completeevacuation of the intestine through the artificial anus. Owing to the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
