. Manual of operative surgery. is simi-lar to the procedure required in perforation,the two subjects may be treated together. Step I.—Expose the intestine by an inci-sion in or near the median line. Exception-ally some other incision is preferable. Step 2.—Find and pull out of the bellythe loop of gut to be attacked. (If the caseis one of perforation, empty the loop by strip-ping it wdth the fingers and apply clamps ortheir equivalent.) Protect the belly cavitywith pads. Step 3.—Make a longitudinal incisionthrough the intestinal wall on the side opposite to the mesenteric th
. Manual of operative surgery. is simi-lar to the procedure required in perforation,the two subjects may be treated together. Step I.—Expose the intestine by an inci-sion in or near the median line. Exception-ally some other incision is preferable. Step 2.—Find and pull out of the bellythe loop of gut to be attacked. (If the caseis one of perforation, empty the loop by strip-ping it wdth the fingers and apply clamps ortheir equivalent.) Protect the belly cavitywith pads. Step 3.—Make a longitudinal incisionthrough the intestinal wall on the side opposite to the mesenteric the foreign body. Undoubtedly a longitudinal incision when closednarrows the gut lumen more than does a transverse, but the amount anddanger of this narrowing have been much exaggerated and the longitudinalcut is the more convenient and practical. Step 4.—Closure of the intestinal wound. (A) If the opening is very small, one or two points of Lembert sutures willsuffice, or a purse-string suture may be better (Fig. 546).. Fig. 546.—Purse-string suture.{Monod and Vanverls.)
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