Two-manual Vaginal-Abdominal Wall Examination

Two-handed vaginal-umbilical examination is carried out under the control of the fingers of both hands. During a bilateral examination, regardless of the location of the organs, the doctor uses the index fingers and sometimes the tips of the thumbs, carefully palpating all parts of the abdominal cavity, the initial parts of the lower ribs, hypochondrium, and liver. Fingers easily penetrate the inguinal canal and bring the hernial sac out. They are examined superficially, listening to peristalsis. After examining the intestines, a siphon enema is always performed in order to determine the site of obstruction or indicate an obstacle to the passage of barium. Bowel and intestinal gas is good