Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1328.—Purse-string Closure of End of Bowel. been relieved. The remaining sutures are then tied, and the mesenterysutured. This operation, as done by F. B. Walker (Jour. Am. Med. Assoc,Aug. 15, 1908, vol. 51, No. 7, page 546), was performed with a purse-string. Fig. 1329.—Closure of End of Bowel by Simple Ligature and Purse-string bowel end has been tied, the mucosa of the stump sterilized and buried as in appendectomy. ligature, tied in a bow-knot.
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1328.—Purse-string Closure of End of Bowel. been relieved. The remaining sutures are then tied, and the mesenterysutured. This operation, as done by F. B. Walker (Jour. Am. Med. Assoc,Aug. 15, 1908, vol. 51, No. 7, page 546), was performed with a purse-string. Fig. 1329.—Closure of End of Bowel by Simple Ligature and Purse-string bowel end has been tied, the mucosa of the stump sterilized and buried as in appendectomy. ligature, tied in a bow-knot. The ends emerge, and by pulling, the knotis untied and the ligature pulled out, after applying the apposition parallel continuous stitch (Gushing) is used. The same principle isapplied by Walker in making lateral anastomosis. A purse-string suture THE ABDOMEN 661 is inserted and the opening in the bowel or stomach is made inside of anastomosis is then made, and the purse-string is pulled out. Thefirst half of the anastomosis suture is inserted before the openings are cut. These methods have the disadvantage that a redundant free edge ofbowel is left on each stump. These free ends hang as a constricting flap inthe lumen of the bowel and increase the amount of scar tissue. Anastomosis by simple invagination, with mucosa to peritoneum may bedone with the rectum and in
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
