Ideally, the bulb should be removed intact from the rectum through
the anus. If this is not possible, the abdomen must be opened and the
bulb gently squeezed through the rectum and the anus, with great care taken
to avoid injuring the rectum. Should this method be unsuccessful, the
sigmoid colon must be opened and the bulb removed through the abdominal
incision; however, opening the sigmoid colon is a very lenghy procedure
with severe morbidity and a prolonged recovery period,, and this maneuver
should be reserved as an extraordinary measure.
Vaman S. Diwan, MD, MS
Huntington, West Virginia
Thanks to Mark Slater who plucked
this gem from the research lib and snailmailed it to me.
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