Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ry is sutured. The longitudinal opening is then closed by continuousor interrupted sutures. The parallel continuous stitch (Cushing) is welladapted to this (see Wounds of Intestine, page 566; Enterorrhaphy, page628). Care should be taken in reducing the invagination not to put anystrain on the suture line. As soon as possible the mesentery should be su-tured. It is done with care that all slack is taken up at the enteromes-enteric junction so that traction strain
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ry is sutured. The longitudinal opening is then closed by continuousor interrupted sutures. The parallel continuous stitch (Cushing) is welladapted to this (see Wounds of Intestine, page 566; Enterorrhaphy, page628). Care should be taken in reducing the invagination not to put anystrain on the suture line. As soon as possible the mesentery should be su-tured. It is done with care that all slack is taken up at the enteromes-enteric junction so that traction strain shall fall on the mesentery ratherthan the bowel. In this operation the sutures may be tied as each is inserted or they mayall be inserted before tying. Some surgeons after reducing the invagination, 656 SURGICAL TREATMENT place a parallel continuous stitch (dishing) through the musculoserouscoats (Fig. 1321). End-to-end anastomosis of segments of unequal size by the invaginationmethod differs from the above operation first in reducing the size of the largerend. Bickham (Operative Surgery) proceeded as follows: The mesenteric. Fig. 1321.—Invagination Method of End-to-end invagination has been reduced, the mesentery sewed, and the bowel opening is being closed. traction suture is introduced as above described. The second tractionsuture is introduced also as that in the above operation, excepting thatwhile it is passed opposite to the mesentery in the small segment, in thelarger segment it is passed at a distance from the mesenteric attachment
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
