Surgery; its theory and practice . it one or two fingers. Iprefer myself for the purpose of sav-ing time to make it long enough toat once admit the whole hand iffound necessary. If a distendedloop presents in the wound, the ob-struction is in the large or lower por-tion of the small intestine ; if thisloop contains fluid, feeces, or gas, itis probably near the obstruction; ifonly gas, some distance off. Passone or two fingers or the whole handinto the abdominal cavity and first explore the hernial rings fromwithin, and if these are free the region of the csecu-n, taking careto prevent the inte
Surgery; its theory and practice . it one or two fingers. Iprefer myself for the purpose of sav-ing time to make it long enough toat once admit the whole hand iffound necessary. If a distendedloop presents in the wound, the ob-struction is in the large or lower por-tion of the small intestine ; if thisloop contains fluid, feeces, or gas, itis probably near the obstruction; ifonly gas, some distance off. Passone or two fingers or the whole handinto the abdominal cavity and first explore the hernial rings fromwithin, and if these are free the region of the csecu-n, taking careto prevent the intestines from protruding by plarins: over them awarm flat aseptic sponge. If the Ccccum is found distended, theobstruction must be in the large intestine. Cairv your fingers orhand, therefore, along the course of the colon until the obstruc-tion is met with. If, on the other hand, the crecum is empty, theobstruction must be in the small intestine. Pass your fingers orhand in this case into the pelvis, and search for an empty loop of. I^ines of incision in certain operationson the abdomen, a. Laparotomy,Ovariotomy, b. Supra-pubic cyst-otomy, c. Ligature of externaliliac artery, d. Inguinal (jastrostomy. f. Cholccystotomy. LAPAROTOMY. 607 Fig. 285. intestine below the obstruction, and follow the intestine by pass-ing it through the fingers piece by piece till the obstruction isdiscovered. If after a search of some minutes the obstruction isnot found, enlarge the wound and allow the intestines to prolapse,keeping them warm by the continual application of aseptic gauzewrung out of hot water. When the intestines are much distendedMr. Greig Smith advises that the distended loop should be drawninto the wound, punctured with a Spencer Wells ascites needleconnected with an aspirator bottle, the distension relieved, andthe Httle wound sutured, the Surgeon waiting for hours at thebedside if necessary, and aspirating occasionally till the distensionis relieved. The gut in the mean
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
