Modern surgery, general and operative . suture, J inchapart. These rows of sutures are i inch longer than the slit in the bowel willbe (Fig. 709), the thread at the end of each row being left long. An incision ismade in the bowel, J inch from the sutures, both rows of threads being on thesame side of the cut. This incision is 4 inches long. The other portion of thebowel is then incised in the same way. The adjacent cut edges are united bya whip-stitch which goes through all the coats, and the free cut edges are Operation with Rings for Lateral Intestinal Anastomosis 1115 stitched in the same m
Modern surgery, general and operative . suture, J inchapart. These rows of sutures are i inch longer than the slit in the bowel willbe (Fig. 709), the thread at the end of each row being left long. An incision ismade in the bowel, J inch from the sutures, both rows of threads being on thesame side of the cut. This incision is 4 inches long. The other portion of thebowel is then incised in the same way. The adjacent cut edges are united bya whip-stitch which goes through all the coats, and the free cut edges are Operation with Rings for Lateral Intestinal Anastomosis 1115 stitched in the same manner (Fig. 710). The surgeon now utilizes the longthreads of the first sutures, and brings the serous surfaces of the oppositesides together by means of Dupuytrens suture. Halsted performs anastomo-sis as follows: He places the two portions of bowel with their mesenteric bordersin contact. Six quilted sutures of silk are introduced, tied, and cut off (, a). At each end of this row of sutures two quilted sutures are introduced,. WiMlMMiSSi.^ ^^ii:^iiisissa<^^^ V\\TO\m»MAV\^ Fig. 711.—Halsteds operation for lateral anastomosis, showing four steps of same (Jessett, from Halsted). tied, and cut (Fig. 711, 6). A number of quilted sutures are introduced, as isshown in Fig. 711, c. The intestinal openings are made with scissors, and thesutures last introduced are tied and cut off (Fig. 711, d). J. Shelton Horsley has suggested an ingenious method of intestinal anasto-mosis which secures for the sutured portion a greater diameter than that nor-mal to the intestine.^ After resection of the intestine and a V-shaped piece of
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
