. Modern surgery, general and operative. / Fig. 779.—End-to-end union with aidof segmented ring. Contiauous stitch be-ginning at one side of the handle (Harring-ton and Gould).. Fig. 7S0.—End-to-end union with aid ofsegmented ring. Handle unscrewed, suturecompleted (Harrington and Gould). ances is Franks coupler, which is made of bone, the compression being furnishedby rubber. In this apparatus, however, the amount of pressure obtained isalways uncertain and the rub-ber is apt to wear out. Thebutton gives a lower mortalitythan the suture operation, andsome surgeons now use it whoonce condemned
. Modern surgery, general and operative. / Fig. 779.—End-to-end union with aidof segmented ring. Contiauous stitch be-ginning at one side of the handle (Harring-ton and Gould).. Fig. 7S0.—End-to-end union with aid ofsegmented ring. Handle unscrewed, suturecompleted (Harrington and Gould). ances is Franks coupler, which is made of bone, the compression being furnishedby rubber. In this apparatus, however, the amount of pressure obtained isalways uncertain and the rub-ber is apt to wear out. Thebutton gives a lower mortalitythan the suture operation, andsome surgeons now use it whoonce condemned it. Czemy isa strong advocate of thebutton. Harrington and Gould usea segmented aluminum ring collapses into smallsegments after the anastomosishas been effected. By its usethe authors believe that theoperation is made more rapidlyand safely (Annals of Sur-gery, Nov., 1904). Duringthe suturing the ring is held bymeans of a handle, which, afterthe anastomosis has beeneffected, is removed. Thering in the handle is shown inFig. 778 and the operation inFigs. 779 and 780. ^Maunsell has devised amost ingenious method of cir-cular enterorrhaphy. The twoportions of
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
