Operative surgery . traction in bothdirections should be prac-ticed after the reductionof the oedematous swell-ing by squeezing, neverforgetting that a too vigor-ous or prolonged effort atreduction greatly com-promises the integrity of the gut and depresses the vitality of the patient,who is thus perhaps robbed of the benefits of other expedients in case ofa failure of this. After restitution of the intestine to its normal relationsit should be examined carefully to detect any evidences of injury or pointsof uncertain vitality that may be present and require surgical may be wiser
Operative surgery . traction in bothdirections should be prac-ticed after the reductionof the oedematous swell-ing by squeezing, neverforgetting that a too vigor-ous or prolonged effort atreduction greatly com-promises the integrity of the gut and depresses the vitality of the patient,who is thus perhaps robbed of the benefits of other expedients in case ofa failure of this. After restitution of the intestine to its normal relationsit should be examined carefully to detect any evidences of injury or pointsof uncertain vitality that may be present and require surgical may be wiser in some instances to isolate the parts of the intestine ofquestionable vitality with iodoform gauze, and leave them outside of theabdomen, or inside even, pending Natures solution of the doubt, ratherthan to sacrifice unduly the injured portion, or the patients opportunityof recovery, by attempts at immediate repair. When the integrity of thegut is assured, any accumulation of faeces or gases collected in the prox-. FiG. 907.—Intussusception of the jejunum, a. Internalcylinder, b. Middle cylinder, c. External cylinder. OIIMJAIIONS OX VISCKIJA CON \ K( IHI) WITH IMlKIToN J-:UM. (;c):, iniiil portion of the iiitisline slioiild be cuusid to {) ciloii;,^ the ilisiiiva<,M-luitcil part to a lioaltliier j)ortioii before closure of the abiloiiien, in orderthat any obstruct ion at the impaired part of the intestine may be obviateduntil the fuiution of the bowel is restored. A failun^ to reduce the intus-susception calls prompt attetition to the advisability of the adoption of othermeasures. The Rcnutrks.—In rare instances reduction is accomplished easier at alater tiian at an earlier period. The tumor should be straightened as muchas })ossible before reduction is attempted. Squeezing the intussuscipiens atthe apex of the tumor is serviceable. Traction on the intussusceptum shouldbe avoided in severe cases. Circumscribed thickening of the gut and thick-ening of tlie ileo-ca^ca
Size: 1469px × 1700px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
