A case of artificial anus treated by resection of the small intestine : with some remarks on the method and the results obtained by it / by G.H. Makins.

  • George Makins
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: A case of artificial anus treated by resection of the small intestine : with some remarks on the method and the results obtained by it / by G.H. Makins. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Mesentery Meseu- tery tixed by thread to wound Wedge, sutured with catgut Wedge Persistence of fistula. Yes Yes Wedge Cause of death. Kesult. Exhaustion C. failure C. D. Yes, from 2nd day Septic peritonitis Peritonitis R.J failure D. D. Eemarka. Operation two months after herni' otomy. Bowels open 3rd day. Operation 4 months after herni- otomy. Artificial anus re-estah- lislied. Patient died a few months later from inanition. Failure due to stenosis and narrowing of lower end. Slow course. Constipation. Ope- ration 2J months after herni- otomy. Operation 5 weeks after herniotomy. Bowels open on 9th day. A fsecal abscess formed, and a faecal fistula persisted until the discharge of a suture, then closed; but 3 months later a second abscess, followed by fistula. Stenosis at seat of suture: first abscess due to perforation above stricture j later a second perforation below, and hence tem- porary continuity of canal, later spoiled by contraction. Bowels open on 9th day. Omentum removed at herniotomy. Stump left in canal. 4 inches excised at herniotomy. Operation for artificial anus il montiis later. Bowels open on 10th day. Subject to constipa- tion after operation. 6 inches of gut removed at herni- otomy. Operation for artificial anus 2 months later. Signs of obstruction on 2nd diiyj sutures removed, and artificial anus re- established. Discharged with a fistula and subject to constipation. Died 1 year later with pneumonia. Lived 15 hours. Pulmonary em- boli. Stenosis of upper end of bowel.
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