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Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. Stool is emptied by gently inserting a finger into the rectum and Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed.Guidelines for Manual Evacuation AL/Oct2016. Review Oct 2018 present, then a manual evacuation should be performed. prevent any complications.