Surgery; its theory and practice . re should closethe little triangle where the mesentery is reflected from the the long ends of the sutures intact. Pass them up thelumen of the proximal portion of the bowel and out through alongitudinal slit previously made in its wall opposite the mesen-tery, and about an inch from its cut end (Fig. 131). Draw on maunsells method. 385 the sutures, and the distal or smaller end g (Fig. 133) will beinvaginated into the proximal or larger end h, and thence pulledout of the longitudinal incision in the wall of the proximal portionH. From Fig. 132 it wi
Surgery; its theory and practice . re should closethe little triangle where the mesentery is reflected from the the long ends of the sutures intact. Pass them up thelumen of the proximal portion of the bowel and out through alongitudinal slit previously made in its wall opposite the mesen-tery, and about an inch from its cut end (Fig. 131). Draw on maunsells method. 385 the sutures, and the distal or smaller end g (Fig. 133) will beinvaginated into the proximal or larger end h, and thence pulledout of the longitudinal incision in the wall of the proximal portionH. From Fig. 132 it will be seen that the serous surfaces of thetwo portions are in accurate apposition all round. Whilst anassistant holds up the intestine by the temporary sutures, drawingthem gently apart so as to render the lumen of the invaginationan oval slit, pass a straight needle armed with fine silk across theslit a quarter of an inch from the cut ends through the wholethickness of the four walls of the intestine (Fig. 133). Hook up Fig. Maunsells method of circular enterorrhaphy. G. The interior of the distal portion. H. Theinterior of the proximal portion of the bowel. Fig. 133.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
