The Bradshaw lecture on colotomy, lumbar and iliac : with special reference to the choice of operation / by Thomas Bryant.

  • Thomas Bryant
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: The Bradshaw lecture on colotomy, lumbar and iliac : with special reference to the choice of operation / by Thomas Bryant. Source: Wellcome Collection.

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    tation be asserted tliat with a distended abdo- men and colon and urgent symptoms tlie lumbar operation is the simpler of the two. 2. To search for the colon in iliac colotomy performed upon a patient with an undistended abdomen and free from all urgent symptoms may neither be difficult nor dangerous; but with the opposite condition, in which the bowel above the immediate seat of disease is damaged from prolonged obstruction, danger must exist, and such a danger must be added to that which appertains to the peritoneal wound. In lumbar colotomy neither of these dangers has to be met; such searching for, extrusion, and drag- ging outwards of the colon as is considered to be essential in the ihac operation is never re- quisite, since the spur which is considered to be so essential to guard against the passage of fseces past the artificial opening in the iliac method can in the lumbar be obtained by far simpler means. 3. The prolapse of the bowel at the artificial opening which has been adduced as an objection against lumbar colotomy does not rightly or of necessity belong to it. To judge by my own
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