Operative surgery . rt the sutures are grasped collectivelyby means of forcipressure and drawn upwardby the surgeon or an assistant so as to ele-vate the included tissue (Fig. 931), and an in-cision an inch or so in length, according torequirements, is made with a sharp scalpel at, ^ • ^ either side of the elevated end (i, d) in the S ~ tr :,i;„^yiii!i^ direction of the long axis of the intestine, if the colon, or vertically if the small intestine bethe one involved. The corresponding extremi-ties of these incisions are then connected ;rtoffecal ^ach other by two curved
Operative surgery . rt the sutures are grasped collectivelyby means of forcipressure and drawn upwardby the surgeon or an assistant so as to ele-vate the included tissue (Fig. 931), and an in-cision an inch or so in length, according torequirements, is made with a sharp scalpel at, ^ • ^ either side of the elevated end (i, d) in the S ~ tr :,i;„^yiii!i^ direction of the long axis of the intestine, if the colon, or vertically if the small intestine bethe one involved. The corresponding extremi-ties of these incisions are then connected ;rtoffecal ^ach other by two curved ones {a, a) carriedfistula and artificial amis, one at either side of the opening about half ana. Sutures, b. Portion re- j^^^j^ fj.^j-,-, ^j^^ border. The dissection is con-moveu. c. u all of Lumen of sinus. tinned carefully either along the outer («, a ) of Fk;. 931.—The treatment of facalfistula and artificial anus, o, incisions, h, d. Verticalincisions, c. Border of outerwall of OPKRATIoNS ON VISCKIIA (oNN KCrKD WITH 733 these incisions only, or conibiiiedly with one (0) or botii (/>, d) of the straightincisions outside of the sinus down to the gut, which is then raised up wellinto the wound. The peritoneal cavity may or may not be involved by thedissection, depending on the extent of the adhesions, the desire to coapt theserous surfaces of the bowel in the re])air, or the ignoring entirely of these y/^
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
