Operative surgery . es to which long strings are tied for identification; supple-ment the sponges with aseptic gauze, wet with saline solution if advisable ;pass a traction suture of silkworm gut deeply into the wall of the stomach ateither side of the line of proposed incision ; make an opening two inches inlength into the stomach in the vertical axis parallel with the vessels () ; raise the opening still farther upward by means of the traction sutures,aided by small retractors if necessary, and arrest hajmorrhage. If the stomachhave not been washed out and the need for it be present,
Operative surgery . es to which long strings are tied for identification; supple-ment the sponges with aseptic gauze, wet with saline solution if advisable ;pass a traction suture of silkworm gut deeply into the wall of the stomach ateither side of the line of proposed incision ; make an opening two inches inlength into the stomach in the vertical axis parallel with the vessels () ; raise the opening still farther upward by means of the traction sutures,aided by small retractors if necessary, and arrest hajmorrhage. If the stomachhave not been washed out and the need for it be present, turn the patientcarefully to the right side so as to allow the contents to escape, directingthem away from the patient by oiled silk or abundant gauze. Finally, flushthe stomach with hot sterilized water or a bicarbonate-of-soda solution, if53 740 OPERATIVE SURGERY. requisite for furtlier cleanliness or better technique. Carefully cleanse theparts and draw the lips of the incision in the stomach together by crossing. Fig. 041.—Inslruinents employed in gastrotoiny and gastrostomy. a. Scalpels, b. Bistouries, c. Forcipressure. d. Curved and straight scissors, e. Tluunbforceps. /. Xeedle-holdor. h. Retractor. /. Sponge-holder. /. Tenaculum, straight needles armed wi(h black silk, also curved needles. /. Traction Silk and catgut sutures, n. Sponge with string attachment, o. Large and smallgauze pads with tape attachments and forcipressure anchor of pad. Perforated rub-ber dam for isolation is employed (Turck). the traction sutures; renew the sponsre and gauze packing if need be, andreturn the patient to the dorsal position. Introduce the index finger care- OPERATIONS ON VISCERA CONNKCIKD WIIII IKRITONJ-^UM. 74I fully into the stoiiiiich and search Tor and locate the cause deniaiidin^f theoperation, enlarginjif the gastric wound sufficiently to admit the thumb andoven the etitire hand if needful for complete examiiuition. Tlie liiDiitrks.—If tlu^ exploration he
Size: 1352px × 1848px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
