A Manual for the Practice of Surgery

Cover A Manual for the Practice of Surgery
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The bowels should be emptied by a simple enema before the nutrient one is tntrodu The nutrient enema should he used every four or six hours, and should not consist of more than six onncetj^ The material should be tepid, and introduced Wow^y, as the rectum repudiatea an; sudden distension.
    After its administration, a napkin should be pressed against the anus until the disposi tion to expel it has passed away.
    "When the expulsion tendency is great, opium may be added to the enema j indeed^
... under all circumstances, it is of advant4i.ge.
    At times, the enema is retained better when introduced some sisL inches into the rectu: than within the sphincters.
    When injections are badly tolerated at first they may at times be well retained if the, are pers^is^ted in.
    The best maiteriala for tliese enemata are—milk, eggs, meat juices with pancreas or pancreatic emulsion, and these may be envployed at different times.


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