The operation I desire to demonstrate deals entirely with those inoperable lesions which cause occlusion of the rectum or lower portion of the sigmoid flexure of the colon. Its chief feature is the formation of a very considerable loop of that portion of the colon which is immediately above the artificial anus, making what might be called an artificial sigmoid flexure or storehouse capable of holding a large amount of fecal matter, which may be discharged at long intervals, thus preventing the frequent soiling of the dressings, which are so common in the ordinary operations for fecal fistula.
After making the incision through the abdominal wall, in the left inguinal region, the large intestine is drawn through the wound and strong traction made on the lower portion so that all of the bowel between the rectum and the wound is put well on the stretch. About 4 inches of each
WYETH JA. COLOSTOMY FOR PERMANENT FECAL FISTULA. JAMA. 1900;XXXV(23):1458–1459. doi:10.1001/jama.1900.24620490016001d
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