Modern surgery, general and operative . Fig. 627.—Barkers technic of operationfor removal of the appendix. Fig. 628.—Ligation of appendix and meso-appendix. tied off by one ligature, the appendix is not crushed, but is tied off by anotherligature, and both structures are cut off below their respective ligatures. Thestump is disinfected with pure carbolic acid or the cautery, inverted, and thefringe of the meso-appendix is sutured. This method does not entirely removethe appendix, but inverts glandular tissue into the wall of the bowel. Thestump may not be completely asepticized by the carbolic
Modern surgery, general and operative . Fig. 627.—Barkers technic of operationfor removal of the appendix. Fig. 628.—Ligation of appendix and meso-appendix. tied off by one ligature, the appendix is not crushed, but is tied off by anotherligature, and both structures are cut off below their respective ligatures. Thestump is disinfected with pure carbolic acid or the cautery, inverted, and thefringe of the meso-appendix is sutured. This method does not entirely removethe appendix, but inverts glandular tissue into the wall of the bowel. Thestump may not be completely asepticized by the carbolic acid and hence maylead to postoperative abscess, dense adhesions or fecal fistula, or the unde-stroyed lymphoid structure may cause further trouble, even persistent illhealth (Joseph Price). Some remove the appendix by an elliptical incisionaround its base, and close the colon wound by Lembert sutures. This method,of course, removes the appendix completely. Dawbarn surrounds the appen-dix with a continuous Lembert purse-string sut
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
