Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . is completed the lastloop is left loose, the blades of the clamp are firmly locked, and a chisel-pointedknife is slid along two grooves between the blades. This cuts the twobowel walls. A cautery blade follows this. The clamp is then withdrawn,and the suture tied. THE ABDOMEN 677 A pair of knitting needles were used by V. and V. W. Pleth (Am. Jour, ofSurg., July, 1909). The bowels are laid side by side, two rows of suturesinserted posteriorly, and a long steel kni
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . is completed the lastloop is left loose, the blades of the clamp are firmly locked, and a chisel-pointedknife is slid along two grooves between the blades. This cuts the twobowel walls. A cautery blade follows this. The clamp is then withdrawn,and the suture tied. THE ABDOMEN 677 A pair of knitting needles were used by V. and V. W. Pleth (Am. Jour, ofSurg., July, 1909). The bowels are laid side by side, two rows of suturesinserted posteriorly, and a long steel knitting needle inserted in and outof each loop of bowel a distance equal to that of the desired opening. Along narrow forceps is then applied between the needles and the suturesback of both needles, grasping four thicknesses of bowel. The actual cauteryis then used to burn through both bowel loops along the needles until thelatter are released. The suture next to the opening is then completed, theloop next to the handle of the forceps not being pulled in place until theforceps are removed. The outside suture is then Fig. 1349.—Lateral Anastomosis with the Rubber ligature is being tied. The handle of a pair of forceps presses back the seromus-cular suture line to prevent its compression. The silk ligature is ready to be tied aboutthe first turn of the knot. Intestinal Exclusion.—Excluding of some part of the intestine from carry-ing intestinal contents is accomplished by making anastomosis in such a wayas to short-circuit the intestinal current. These operations are donefor irremovable obstruction, for the purpose of securing rest for some diseasedsegment of the bowel, or for purposes of drainage. Tuberculosis of the intes-tine, ulcers, enterovaginal fistula, enterocystic fistula and intractable colitisrepresent some of the non-obstructive conditions for which the operation isdone. Lateral anastomosis, lateral implantation, and end-to-end anastomo-sis
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
