The surgical assistant, a manual for students, practitioners, hospital internes and nurses . itions surveyed, the assistant draws out the free marginsof the parietal peritoneum for the surgeon to secure thistissue to the skin edge of the wound with a running catgutsuture. While this is being done, a gauze compress may beneeded to prevent bulging of the intestine through thewound. The desired portion of the colon having been de-livered into the opening, packings may again be needed, bothto support this gut temporarily and to restrain other coils. 210 The Assistant. To ensure the prese
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . itions surveyed, the assistant draws out the free marginsof the parietal peritoneum for the surgeon to secure thistissue to the skin edge of the wound with a running catgutsuture. While this is being done, a gauze compress may beneeded to prevent bulging of the intestine through thewound. The desired portion of the colon having been de-livered into the opening, packings may again be needed, bothto support this gut temporarily and to restrain other coils. 210 The Assistant. To ensure the presence of an ample spur, a glass rod,metal sound or similar instrument may next be assistant with both hands draws the segment of colonwell out of the abdomen, while the operator thrusts the rodthrough the meso-colon close to its junction with the intes-tine. Interrupted silk sutures are now to be handed to thesurgeon for fastening the circumference of the presentingportion of colon and the meso-colon to the everted marginof the parietal peritoneum, the assistant gently drawing. Fig. 76. Inguinal Colostomy. Rod in place. Manipulation for anchorageof visceral to parietal peritoneum. first one portion of the gut and then another upwards andtowards the center of the wound as the stitches are put inplace and cut short. If the intestine is to be opened at once a gauze strip shouldbe tucked about its base. The patient is then turned uponhis side, and a pus basin held in place to receive the fecaldischarge. Forceps, and scissors or scalpel are handed to theoperator and after these, if needed, a long drainage of the colon, by means of a piston- or fountain-syringe, may be desired. The parts are then to be cleansedand the skin about the wound is to be freely anointed withvaselin. The dressing consists of a ring of gauze surround-ing the wound, and abundant loose gauze above it. Intestinal Resection. 211 If the intestine is not opened at once, a good-sized tea-s
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
