140 SPRINGTIME SURGERY 



the mucous membrane of the rectum should be 

 pulled outward, sutured to the skin or margins of 

 the opening made by the dissection so that the 

 mucous membrane and skin are continuous and 

 form a lining for the artificial opening. 



If there is a communication between the intes- 

 tine and the bladder urethra, or vagina it should 

 be closed by a plastic operation and the external 

 opening made as indicated above. 



