Abdominal surgery . edicle in sec-tions so as to split it. Suchsplitting extends downwardssome way below the site of deli-gation, and may pass through athin - walled vessel which maybleed very freely. In somecases of thick or broad ped-icle, double deligation by theStaffordshire knot may not seemsufficient; then ligation in threeor four portions may be ad-visable. In such a case thethreads must be interlocked sothat the pedicle, while it is tiedin sections, is still compressedas a whole towards its centre,and splitting is thus renderedimpossible. The accompanyingdiagrams (Figs. 27, 28, 29) sho
Abdominal surgery . edicle in sec-tions so as to split it. Suchsplitting extends downwardssome way below the site of deli-gation, and may pass through athin - walled vessel which maybleed very freely. In somecases of thick or broad ped-icle, double deligation by theStaffordshire knot may not seemsufficient; then ligation in threeor four portions may be ad-visable. In such a case thethreads must be interlocked sothat the pedicle, while it is tiedin sections, is still compressedas a whole towards its centre,and splitting is thus renderedimpossible. The accompanyingdiagrams (Figs. 27, 28, 29) showhow this may easily and rapidlybe done, when we desire to makedeligation in three portions. Apiece of silk long enough toform three ligatures is threadedin the blunt pedicle needle. Theneedle is passed, at about a distance of one-third of thebreadth of the pedicle from one of its margins, through anarea in which there are no vessels, or from which the vesselshave been pushed aside; the silk is caught in a loop over. Triple Interlocking Ligature. The threads interlocked ready for tying.
Size: 1878px × 1330px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1880, bookpublisherlondonchurchill
