. Minor and operative surgery, including bandaging . Uretero-ureteral anastomosis, end-in-side implantation (Van Hooks method):a, first step; b, second step; c, completed operation. (Beyant.) ligature. A loop of catgut threaded with double needles ispassed through the tip of the upper end of the ureter, andthis is drawn through the incision by means of the catgutloop, the needles passing out of the ureter a little below thelower limit of the incision ; the catgut ligature is then tiedand a few additional sutures are applied (Fig. 499). OPERATIONS UPON THE COLON. 591 IMPLANTATION OF URETER INTO


. Minor and operative surgery, including bandaging . Uretero-ureteral anastomosis, end-in-side implantation (Van Hooks method):a, first step; b, second step; c, completed operation. (Beyant.) ligature. A loop of catgut threaded with double needles ispassed through the tip of the upper end of the ureter, andthis is drawn through the incision by means of the catgutloop, the needles passing out of the ureter a little below thelower limit of the incision ; the catgut ligature is then tiedand a few additional sutures are applied (Fig. 499). OPERATIONS UPON THE COLON. 591 IMPLANTATION OF URETER INTO BLADDER. When the distal end of the ureter is too short to admitof an anastomosis the urethra may be implanted into thebladder. The distal portion of the ureter should be ligatedand an incision made into the bladder near the ureteral ori-fice. The upper end of the ureter is drawn down by a loopof catgut as in the method of Van Hook and is securedby tying the ends a little below the wound. A few inter-rupted sutures of catgut or fine silk are next


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