1. CPS calls Mr Datta Vivek, Consultant Colorectal Surgeon at Guys & Thomas' NHS Trust to the witness box. #PornTrial
  2. Datta: "I see a male fist inserted, perhaps up to 20cm up the rectum." #PornTrial
  3. Datta - Second image shows forearm into anus. "Huge amount of feces". #PornTrial
  4. CPS: "What are the potential consequences of these acts?" #PornTrial
  5. CPS - what are the consequneces? Datta - fist is a foreign body. local trauma to sphincter, may be torn or ripped. #PornTrial
  6. Datta: "1) sphincter can be damaged irreparably by any trauma which causes them to be stretched." #Porntrial
  7. Datta: "The anus is not designed to be stretched very far." #PornTrial
  8. Datta - "Muscles which control your back passage" may be irreparably damaged, causing feces to leak. #PornTrial
  9. Datta - There are two sphincters, internal and external. Either can be ruptured causing incontinence. #PornTrial
  10. Datta: 2) "internal spincter is continuation of bowel muscle -- which travels all the way to your mouth." #PornTrial
  11. CPS - "If your hand is internal" what are the consequences? Datta - May cause hole in bowel. #PornTrial
  12. Datta: "If feces is let loose from bowel, it can spread infection and cause death." #PornTrial
  13. HHJ - What are the consequences of a hole in the bowel? Datta - Peritonitis and death. #PornTrial
  14. Datta: "we have dealt at Guys & Thomas' with a lot of injuries caused by foreign bodies inserted into the anus." #PornTrial
  15. Datta: "I have operated on 5 people with perforations to the bowel caused by foreign bodies." #PornTrial
  16. HHJ - Consequences? Datta - Holes in bowel. Colostomies. Passing motions into a bag. 3 of these patients required that. #PornTrial
  17. CPS: "You mention a pebble?" Datta: "It was smooth; had diameter of roughly size of male fist." #PornTrial
  18. Datta - A shower head of 8cm diameter had to be removed from a patient's bowel, which required a year's medical treatment. #PornTrial
  19. CPS - Paper by Dr Cohen (sp?) on "Sexual Trauma Associated with Fisting". Datta refers to this paper from the witness box. #PornTrial
  20. Datta describes case in docu. of 39 yr old man & injuries caused by fisting. Pint of blood lost from lacerations to abdomen. #PornTrial
  21. CPS - Patient two went to an "Organised weekend fisting circuit party". #PornTrial

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