Operative surgery, for students and practitioners . Fig. 233. -Cholecystostomy. Purse-string to close incision in fundus of gall-bladder around the drainage tube has been Fig. 234.—Cholecystostomy. The purse-string suture has been tied and theincision in the fundus of the gall-bladder closed water-tight around thetube. Two sutures, A and B, have been introduced in the wall of the gall-bladder. They catch the edges of the peritoneum and deep fascia on eitherside of the Incision, and, when tied, serve to suspend the gall-bladder close tothe abdominal wall. 506 ABDOMEN AND BACK. Whil
Operative surgery, for students and practitioners . Fig. 233. -Cholecystostomy. Purse-string to close incision in fundus of gall-bladder around the drainage tube has been Fig. 234.—Cholecystostomy. The purse-string suture has been tied and theincision in the fundus of the gall-bladder closed water-tight around thetube. Two sutures, A and B, have been introduced in the wall of the gall-bladder. They catch the edges of the peritoneum and deep fascia on eitherside of the Incision, and, when tied, serve to suspend the gall-bladder close tothe abdominal wall. 506 ABDOMEN AND BACK. While the bladder is steadied with the clamps an incision ismade in the fundus sufficiently large to remove the stones andpermit the introduction of the finger for the purpose of exploration. The clamps are then removed and re-applied so as to catch theedges of the opening in the gall-bladder and the stones are removedwith the stone scoop or forceps. Stones impacted in the neck of thegall-bladder or cystic duct may be dislodged and forced back intothe bladder by manipulation of the neck of the gall-bladder. Theycan then be removed with the scoop or seized with the forceps. Ifuns
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