Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Pig. 1209.— Mesenteric Flap is Turned up and Sewed into Denuded AreaA second incision is made to secure a secondary plastic peritoneal flap. Richardson (Bull. Johns Hopkins Hosp., xxii, 283) made an incisionthrough the peritoneum close to the bowel, dissected up the peritoneum andsewed it over the raw surface (Figs. 1211 and 1212). These operations shouldnot injure the blood supply in the mesentery. They are particularly ap-. Fig. 1210.—Completed Peritoneal Plasti
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Pig. 1209.— Mesenteric Flap is Turned up and Sewed into Denuded AreaA second incision is made to secure a secondary plastic peritoneal flap. Richardson (Bull. Johns Hopkins Hosp., xxii, 283) made an incisionthrough the peritoneum close to the bowel, dissected up the peritoneum andsewed it over the raw surface (Figs. 1211 and 1212). These operations shouldnot injure the blood supply in the mesentery. They are particularly ap-. Fig. 1210.—Completed Peritoneal Plastic for Covering Denuded Surface on possibilities of plastic flaps of peritoneum. plicable to the small intestine and to the mesentery which contains a fairamount of fat. Another material which may be used for this purpose is omentum-but this leaves the bowel adherent to the omentum unless an omental graft is 5-44 5I -RGICA L TREA TMEN T used (Fig. 1213), and that is less apt to succeed than an operation with anattached flap. Peritoneal grafts can be taken from the omentum, broad ligament, meso-colon, hernial sac, hydrocele sac, pelvovesical fold, or any other area whererelaxed peritoneum is to be found. The operation of grafting is done bycutting out a piece of peritoneum about one-third larger than the area to be
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
