Plastic surgery; its principles and practice . d loop of intestine. (Rutkowsky, 1899,and othefs.) (3) By freshening and uniting the edges of the defective bladder,after bringing together the widely separated pubic bones. To accom-plish this, Trendelenburg divides the sacroiliac synchondrosis on each , Koch, and others secure the same result by division or fractureof the horizontal and descending rami of the pubes, followed by sutureof the loosened margins of the bladder. Passavant uses an orthopedicpressure apparatus to bring the bones together. 300 PLASTIC SURGERY (4) Schlange mobil
Plastic surgery; its principles and practice . d loop of intestine. (Rutkowsky, 1899,and othefs.) (3) By freshening and uniting the edges of the defective bladder,after bringing together the widely separated pubic bones. To accom-plish this, Trendelenburg divides the sacroiliac synchondrosis on each , Koch, and others secure the same result by division or fractureof the horizontal and descending rami of the pubes, followed by sutureof the loosened margins of the bladder. Passavant uses an orthopedicpressure apparatus to bring the bones together. 300 PLASTIC SURGERY (4) Schlange mobilizes the lower end of each rectus muscle, chiselsaway the bony insertions, and slides them toward the midline, wherethey are secured. The edges of the bladder are then united. (5) The bladder is formed by isolating a loop of intestine. Thecontinuity of the bowel is reestablished and the lower end of the loopis brought down between the rectum and the anal sphincter. Theureters are implanted in the upper end of the loop. (Gersuny, 1898.) ^^mERS. LATERAL SKIN INCISIONFOR PLASTIC CLOSURE
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