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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    COLOTOMY. experience, it is imaginary. In the iliac opera- tion the objection is admitted, and souglit to be remedied by an operative measure which is in itself of far greater magnitude than any lumbar colotomy I have ever done or seen. 4. The fear of an abnormahty of the colon rendering the operation of lumbar colotomy a failure is practically groundless. I have known it to occur but once in my own practice, and in that case the patient suffered no harm. Such a fear, therefore, need in no way tell against the lumbar measure. 5. The greater convenience of the iliac over the lumbar wound for toilet purposes may at first sight seem plausible, but this apparent advantage is more than counterbalanced by the greater difficulty that exists in keeping any dressing or compress in position over the ante- rior opening to prevent the escape of the intes- tinal contents than is ever experienced over the lumbar. 6. The final conclusion is, therefore, clear that iliac colotomy is not yet proved to be superior to the lumbar operation. In doubtful cases, in which an exploratory incision is re-
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