. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 288.—Intestinal resection. Lateral anastomosis. Detail of passing anteriorone-half of through-and-through stitch. The mucosa is not turned in. patient leaves the surgery. Many methods of counting spongeshave been devised in an effort to prevent their loss. Packages containing a set number to faciUtate counting,count of the number used by one nurse detailed for that purpose,metal tags attached to each sponge, etc., have all been tried,41 642 POST-OPERATIVE COMPLICATIONS AND SEQUELS but each presents the weakness o
. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 288.—Intestinal resection. Lateral anastomosis. Detail of passing anteriorone-half of through-and-through stitch. The mucosa is not turned in. patient leaves the surgery. Many methods of counting spongeshave been devised in an effort to prevent their loss. Packages containing a set number to faciUtate counting,count of the number used by one nurse detailed for that purpose,metal tags attached to each sponge, etc., have all been tried,41 642 POST-OPERATIVE COMPLICATIONS AND SEQUELS but each presents the weakness of human fallabiHty in thecounting. The use of one or two large sheets acts to prevent the loss ofthe sheets, but does not prevent the accidental loss of smallsponges which may be placed upon the instrument table, or. Fig. 289.—Intestinal resection. Lateral anastomosis. Detail of passing lasthalf of Lembert stitch. The clamps have been loosened. which were not removed after the abdomen was opened. Verylarge sheets of gauze are clumsy and sometimes become soiled bycontact with non-sterile portions of the gowns and , it seems that duplication of responsibility offers FOREIGN BODIES IN THE ABDOMEN 643 the best hope of escape from the accident, and to this end thesponges are opened from packages containing a given number,one nurse counts the sponges placed within the abdomen, andone assistant sees to it that each sponge that enters the abdomenhas a haemostat attached. When the assistant recovers allhis haemostats, the nurse her abdominal sponges, and thecount of sponges in use tallies with the number givenout, the element of error is reduced to an irreducible minimum. A small sterile sponge left in an uncontaminated peritonealcavity may become encysted and cause but little dis
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