. Clinical gyncology, medical and surgical. reating the obstruction in some cases. This should be made in the left iliacregion in those cases in which the disease involves the greater part of the rec-tum. When it is limited to the anus or the lower five inches of the rectum,extirpation should be performed. This is best done by the sacral method.The patient is placed upon her left side, and a crescentic incision is madeover the sacrum (Fig. 21), beginning at the right side of the sacro-iliac syn-chondrosis, the knife being carried across the median line to the left side,ending to the left of th

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• Dimensions: 1429 x 1749 px | 24.2 x 29.6 cm | 9.5 x 11.7 inches | 150dpi

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. Clinical gyncology, medical and surgical. reating the obstruction in some cases. This should be made in the left iliacregion in those cases in which the disease involves the greater part of the rec-tum. When it is limited to the anus or the lower five inches of the rectum, extirpation should be performed. This is best done by the sacral method.The patient is placed upon her left side, and a crescentic incision is madeover the sacrum (Fig. 21), beginning at the right side of the sacro-iliac syn-chondrosis, the knife being carried across the median line to the left side, ending to the left of the anus ; the skin and superficial fascia are drawn asideand the coccyx and sacrum are exposed; the muscular attachments are dis-sected from the sacrum and the coccyx is removed. Then, with bone forcepsor with a chain saw, two lower segments of the sacrum are exsected, the pre-caution being taken not to extend the resection above the third sacral fora-men. (Fig. 22.) Bleeding is arrested, and the rectum is then drawn aside Fig. 23. Fig. 24..