. Surgery, its principles and practice . inal contents overcomes the resistance of the weak,new connective tissue, and the fistula is re-established. Intestinal anastomosis withthe exclusion of the part in-volved may be employed, butonly in extraordinary cases,where simpler, more directmethods are applicable. Resection of the bowel withre-establishment of its contin-uity after opening the freeperitoneal cavity must in fu-ture be limited to very excep-tional cases. We agree with Senn thatthe method suggested by himwill obviate the necessity ofresorting to these graver pro-cedures except in the


. Surgery, its principles and practice . inal contents overcomes the resistance of the weak,new connective tissue, and the fistula is re-established. Intestinal anastomosis withthe exclusion of the part in-volved may be employed, butonly in extraordinary cases,where simpler, more directmethods are applicable. Resection of the bowel withre-establishment of its contin-uity after opening the freeperitoneal cavity must in fu-ture be limited to very excep-tional cases. We agree with Senn thatthe method suggested by himwill obviate the necessity ofresorting to these graver pro-cedures except in the most ex-traordinary cases. The procedure of preliminary transverse suturing can readily beunderstood from a reference to the illustrations. Only so much of theedge of the bowel opening is loosened as will permit the operator to applya strong layer of transverse sutures in such a manner that the contentsof the bowel may not flood the field of operations. The abdominalcavity may then be opened after careful cleansing, the bowel thoroughly.


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