. Manual of operative surgery. at the outer side of thecaecum and ascending colon. Free the caecum from its bed by finger and divide the branches of the ileocolic artery to the necessary mobilize the diseased segment of gut. The caecum may be somobile, , so well provided with mesocaecum, that ligatures or clamps maybe applied directly without preliminary dissection. 426 OPERATIONS ON THE INTESTINES Step 3.—Treat Ihe mobilized gut as in Pauls colectomy or proceed asfollows: With two crushing forceps applied about i inch apart strongly clamp theileum at a
. Manual of operative surgery. at the outer side of thecaecum and ascending colon. Free the caecum from its bed by finger and divide the branches of the ileocolic artery to the necessary mobilize the diseased segment of gut. The caecum may be somobile, , so well provided with mesocaecum, that ligatures or clamps maybe applied directly without preliminary dissection. 426 OPERATIONS ON THE INTESTINES Step 3.—Treat Ihe mobilized gut as in Pauls colectomy or proceed asfollows: With two crushing forceps applied about i inch apart strongly clamp theileum at a point 6 to 8 inches above the Ciccum. Divide the gut between theforceps. Cleanse the cut surfaces. Treatment of the proximal segment of the ileum: (a) With a continuoussuture tightly close the open end of the gut {, distal to the clamp); (i)sur-round the gut about 13-2 inches proximal to the clamp with a purse-string suture;(c) remove the clamp; invaginate the sutured end of (he gut and tighten thepurse string sutures. I.
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