Operative surgery . und with each other somewhat super-ficially. If time will jiermit, the outercoat of the jirotrusion can be united bymeans of a primary row of continuous orinterrupted silk or catgut sutures withthe bordejS of the divided , here as elsewhere, about theabdominal cavity, the parts when thus ar-ranged in the opening are less securelya fixed than when joined directly with the Pig. 948.—The fixation of the stoinat-h borders of the wound. The modifiedin e-astrostomy, Howses nietliod, , ^ tt ? t t ^ r^ • first step. suture of Howse is regarded by (ireig Smith a
Operative surgery . und with each other somewhat super-ficially. If time will jiermit, the outercoat of the jirotrusion can be united bymeans of a primary row of continuous orinterrupted silk or catgut sutures withthe bordejS of the divided , here as elsewhere, about theabdominal cavity, the parts when thus ar-ranged in the opening are less securelya fixed than when joined directly with the Pig. 948.—The fixation of the stoinat-h borders of the wound. The modifiedin e-astrostomy, Howses nietliod, , ^ tt ? t t ^ r^ • first step. suture of Howse is regarded by (ireig Smith as being the most secure for thepurpose (Fig. 943). It is applied as follows : Introduce two silver-wire loopsnear the site of the proposed opening (a, a) in the stomach, to afford ease inmanipulation of it during sewing ; convey a needle armed with a soft silkligature {h) about a foot in length around the base of the protrusion beneathits serous and muscular coats, inserting it and causing it to emerge succes-. tJllIliATlONS NISCKKA WITH iEiilTUNJ;LM. 745
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
