The Bradshaw lecture on colotomy, lumbar and iliac : with special reference to the choice of operation / by Thomas Bryant.
- Thomas Bryant
- Date:
- 1890
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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![tion has been undertaken with a bowel over- distended, under circumstances of urgency, and when the surgeon is unable to bring about the required extrusion of the colon through the wound. But even in these cases there is not always any very serious distress, particu- larly if the rectum and the lower part of the bowel be kept empty by the use of cleansing enemata followed by the introduction of a sedative suppository; for with the artificial anus established above the seat of obstruction, the straining and forcing of the bowel, which previously may have caused much distress, are done away with, and as a consequence there is comparatively little pelvic pain. Indeed, even a foreign body may rest for months at the seat of obstruction without giving rise to any serious symptoms; for I have here [showing the speci- men] a rubber plug which was, from careless- ness on the part of a medical patient, allowed to pass from the colotomy wound downwards into the rectum to the seat of disease, and which remained in that position for twenty months without giving rise to any trouble, and was then expelled upwards by the action of the in-](https://iiif.wellcomecollection.org/image/b20397690_0039.jp2/full/800%2C/0/default.jpg)
