File:Transactions of the American Association of Obstetricians and Gynecologists for the year (1910) (14760247736).jpg

Identifier: transactionsofam2319amer (find matches)
Title: Transactions of the American Association of Obstetricians and Gynecologists for the year ...
Year: 1910 (1910s)
Authors: American Association of Obstetricians and Gynecologists
Subjects: American Association of Obstetricians and Gynecologists Gynecology Obstetrics Gynecology Obstetrics
Publisher: Philadelphia : The Association
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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Fig. 2.—Patient No. i. Stiff rubber tube introduced in Sims and dorsalpositions. Skiagraph ventrodorsal. different sizes, weights, and lumens of both rectal and stomachtubes, all with the same result. Much has been said regardingthe position of the patient during this maneuver. I assumethat persons upon whom we endeavor to pass a tube are ill, andtherefore I have only asked the patients to place themselvesin such positions as would be possible to assume while ill. 16 H. WELLINGTON YATES. Among these are the dorsal, knee-chest, ventral, Simss, andsome modifications of these several postures. As will be seen by the skiagiaphs, we did not succeed in a singleinstance in passing the tube above the sigmoid, and in only two
Text Appearing After Image:
Fig. 3.—Patient Xo. 3. Skiagraph of stilet of horse catheter (coiled wire spring).Introduced with patient in dorsal position. Ventrodorsal. of the skiagraphed results does the tube go beyond the ampullaof the rectum. Haines in his paper says that in one case he wasable to pass the tube not only into the descending colon, butpassed it through the splenic and hepatic flexures as well; this,however, being done by aid of a sigmoidoscope with the subject PRESENT STATUS OF THE COLOX TUBE. 17 placed in an inverted position, which has no real bearing in ther-apy since it is not practical. When we consider the anatomy of the colon, sigmoid, and rec-tum, it is not to be wondered that these maneuvers have failedin their accomplishment. The rectum is well fixed at the lowerportion; it immediately curves backward and the mid-portionfollows the curve of the sacrum, then ascends obliquely to theleft sacroiliac symphysis, to be continued as the sigmoid, having a Fig. 4.—Patient Xo. 4. Stiff rubbe

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