. Operative surgery, for students and practitioners . ough-and-through, right-angled suture is employed. The edges of the two endsof the gut that are to be united are held in apposition during theapplication of the suture with four tractor sutures. The first tractorsecures the edge of either end of the gut at its mesenteric introducing this suture pains should be taken to catch the edgeof the mesentery some little distance away from the wall of thegut so that, when it is drawn tight, it will pull the serous layer downinto close contact with the muscular coat and thus obliterate thede


. Operative surgery, for students and practitioners . ough-and-through, right-angled suture is employed. The edges of the two endsof the gut that are to be united are held in apposition during theapplication of the suture with four tractor sutures. The first tractorsecures the edge of either end of the gut at its mesenteric introducing this suture pains should be taken to catch the edgeof the mesentery some little distance away from the wall of thegut so that, when it is drawn tight, it will pull the serous layer downinto close contact with the muscular coat and thus obliterate thedead space between the mesenteric layers (see Figs. 126 and 127).A second tractor pierces the edge of each segment of the bowelat a point a little more than halfway between the mesenteric border,where suture No. 1 has been introduced, and the distal Nos. 3 and 4 each catch the edge of the corresponding seg-ment of the bowel at a point the same distance from its mesentericborder as suture No. 2, but upon its opposite, the outer, Fig. 131.—Connell Suture. The four tractor sutures have been placed andthe edges of the gut sutured together for the first third of their circumfer-ence,—, from tractor No. 2 to No. 1.


Size: 1882px × 1328px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: ., bookcentury1900, bookdecade1900, bookidoperativesur, bookyear1906