Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . is a most common condition, though in most cases it causesno symptoms which demand relief. It may often be discovered in the searchfor causes, but the surgeon should not attempt to change the arrangementsof the abdominal viscera unless he is quite sure that he is correcting the defectwhich causes the symptoms. It is natural for the viscera to be and medical treatment should precede surgery. Actual enterop-toses may be cured by proper eating, exerc
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . is a most common condition, though in most cases it causesno symptoms which demand relief. It may often be discovered in the searchfor causes, but the surgeon should not attempt to change the arrangementsof the abdominal viscera unless he is quite sure that he is correcting the defectwhich causes the symptoms. It is natural for the viscera to be and medical treatment should precede surgery. Actual enterop-toses may be cured by proper eating, exercise and sleep. Reflex irritations,as found in the eyes, vermiform appendix, and genital organs, should becorrected. Ochsner has children with enteroptosis sleep with the foot of thebed elevated 15 to 30 degrees, to cause the abdominal viscera to move up-ward, and relieve the supporting structures from strain. An elongated mesocolon may permit prolapse or actual torsion of the cecumsimulating appendicitis. This can be corrected by making a fold in it withsutures to the posterior and lateral abdominal walls (see Volvulus, page. Fig. 1260.— Ptosis of the Transverse Colon to be Remedied by Operation. 608). Ptosis of the transverse colon may be so extreme as to lodge that organin the pelvis. This may be corrected by shortening its mesenteric attach-ment, by shortening the gastrocolic omentum, or by fixing the omentumjust below the colon to the anterior abdominal wall (Figs. 1260 and 1261).The hepatic and splenic flexures may be fixed in place by sutures anchoringtheir mesenteries to the posterior abdominal wall. Ptosis of the sigmoid hasbeen discussed under volvulus (page 608). In extreme cases of elongation and ptosis of the transverse colon, givingrise to constipation and other disturbances, resection of bowel may be done(see Gastroptosis, page 710). Closure of Intestinal Fistula (Fecal Fistula, Artificial Anus).—A smallintestinal sinus should be easily closed (see Fistulas an
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
