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November 11, 1893


JAMA. 1893;XXI(20):732-734. doi:10.1001/jama.1893.02420720016003

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1003 COLUMBUS MEMORIAL BUILDING, CHICAGO, ILL. FORMERLY ASSISTANT TO THE CHAIR OF SURGERY AND DISEASES OF THE RECTUM, KENTUCKY SCHOOL OF MEDICINE.  Having had an opportunity recently, of seeing quite a number of colotomies performed at St. Mark's Hospital, London, I thought it would not be amiss to record my observations of some of the most important cases, which I deemed worthy of consideration.In the preparation of the patient, if time allow, and it is practicable, the bowels are relieved by means of purgatives and enemas, as this frequently obviates the necessity for the immediate opening of the gut. From twelve to twenty-four hours prior to the operation, the same preliminary preparation of the skin is made as for other abdominal incisions and an antiseptic dressing applied over the field for operation. Whenever there are no contra indications, chloroform is the preferred anesthetic, not that it is considered safer

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