Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . r abdominal wall by a few sutures, and the invaginated smallintestine should be similarly fixed. If the mesentery of the intussusceptumis unduly long it should be shortened by peritoneal sutures. Time shouldnot be taken for this if the childs condition is bad. In irreducible intussusception, the conditions are more serious. Thebowel below may be injected with fluid as an aid to the operation and asa preventive of shock. In adults immediate resection is the operati
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . r abdominal wall by a few sutures, and the invaginated smallintestine should be similarly fixed. If the mesentery of the intussusceptumis unduly long it should be shortened by peritoneal sutures. Time shouldnot be taken for this if the childs condition is bad. In irreducible intussusception, the conditions are more serious. Thebowel below may be injected with fluid as an aid to the operation and asa preventive of shock. In adults immediate resection is the operation ofchoice. In children resection gives a high mortality. If the invagination is irreducible but not gangrenous, the procedure shoulddepend upon the general condition of the patient. If urgency is demanded,an intestinal fistula should be made. In the event of a small invagination, 606 5 URGICA L TREA THEN T it may be brought outside of the abdomen, fixed in the wound, and the bowelopened at once and drained, as for malignant tumors (see Intestinal Obstruc-tion, page 595; Malignant Tumors, page 582). For this, intussusception.
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
