Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . he suture is tightened, the wound edges are invagin-ated. The width of tissue embraced in the suture is about 3 mm. (3^ inch)the sutures should emerge about to 3 mm. (3^o to l/% inch) from the edgeof the wound; and they should be about 3 mm. (^ inch) apart. Moynihanestimates the tightness to which a continuous suture should be drawn asfollows: the last -uture should be pulled to raise up into prominence the partof the wall into which tl±c next suture is to be
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . he suture is tightened, the wound edges are invagin-ated. The width of tissue embraced in the suture is about 3 mm. (3^ inch)the sutures should emerge about to 3 mm. (3^o to l/% inch) from the edgeof the wound; and they should be about 3 mm. (^ inch) apart. Moynihanestimates the tightness to which a continuous suture should be drawn asfollows: the last -uture should be pulled to raise up into prominence the partof the wall into which tl±c next suture is to be passed. Suturing the intestine THE ABDOMEN 629 should be done with the loop to be operated upon outside of the the rest of the bowel should be in the abdomen, and the field of operationthoroughly protected. An extra protective pad should be placed under theplace where the bowel is to be opened. As soon as soiling has ceased, thisshould be changed. After completing a suture in which the lumen of thebowel has been exposed, the bowel should be washed off with warm salt solu-tion before being returned to the Fig. 1278.—Seromuscular needle passes as far as the submucosa. For applying the seromuscular suture with a straight needle, the needleis passed as far as the submucosa and then caused to lift up the wall ofthe bowel as a fold and push the needle on so that it passes out throughmuscularis and serosa without penetrating the mucous membrane ( and 1279). The use of omental grafts is indicated in some cases where the line of suturemay be weak. The best omental graft consists in a surface of omentum
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
