Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Gauze is placed between the rod and the skin. If necessary a glass tube isat once fastened into the bowel. If there is no urgency, the bowel is not sewed to the skin; the rod and thefour stay sutures keep it in place. Vaselin is not used lest it preventadhesions. The bowel is covered with rubber protective, and a wall ofpads laid about it to prevent pressure. After adhesions have formed, inthree or four days, or preferably after a week, the projecting bowel is cut
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Gauze is placed between the rod and the skin. If necessary a glass tube isat once fastened into the bowel. If there is no urgency, the bowel is not sewed to the skin; the rod and thefour stay sutures keep it in place. Vaselin is not used lest it preventadhesions. The bowel is covered with rubber protective, and a wall ofpads laid about it to prevent pressure. After adhesions have formed, inthree or four days, or preferably after a week, the projecting bowel is cut off(Fig. 1362). Bleeding may require a running suture around the cut edge,usually no suture is needed. The bridge between is left to be supportedby the rod for a week, when the rod is removed. This constitutes highinguinal sigmoidoslomy. The spur in this operation causes all the contents of the upper bowellimb to escape to the outer world, although some discharged material willdrop into the lower limb. This may be prevented by closing it, as is some-times done at the original operation, and dropping it back into the Fig. 1363.—Colostomy. Diagram showing method of supporting loop of bowel by a suture through the mesentery. The spur also facilitates closure of the fistula, if at any time such anoperation is desired. If there is a possibility that the opening may be onlytemporary, a smaller loop of gut should be left outside, and opened by alongitudinal incision. By passing a suture through the mesocolon and fastening it to the abdomi-nal wall on either side of the wound, the glass rod may be dispensed incision should not be longer than 5 cm. (2 inches). The skin is freedfor cm. (1 inch) from the edge of the wound with a few strokes of theknife. The bowel is brought up. A strong chromic catgut suture is thenpassed backward through the whole thickness of the abdominal wall, exceptingthe skin, about 2 cm. (% inch) from the edge of the wound, then throughthe
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
