Operative surgery . ith the borders of the incision,with broad retractors or deep retraction sutures carried through the entirethickness of the borders of the wound. The fatty tissue lying betweenthe aponeurosis and the transversalis fascia is now exposed and pushed the transversalis fascia and bring into viewthe subserous fatty tissue {a); open and push thisstructure aside with the finger and handle of thescalpel, thereby uncovering the anterior surface oftlie sheath of the quadratus lumborum muscle,which can be seen lying behind it (Fig. 899, b).In the great majority of instance
Operative surgery . ith the borders of the incision,with broad retractors or deep retraction sutures carried through the entirethickness of the borders of the wound. The fatty tissue lying betweenthe aponeurosis and the transversalis fascia is now exposed and pushed the transversalis fascia and bring into viewthe subserous fatty tissue {a); open and push thisstructure aside with the finger and handle of thescalpel, thereby uncovering the anterior surface oftlie sheath of the quadratus lumborum muscle,which can be seen lying behind it (Fig. 899, b).In the great majority of instances the intestinewill appear in the wound as soon as the subserousfat is displaced (Fig. 900). If the gut do not appearat this time, insutflation of the bowel with air bymeans of an ordinary bellows will promptly producethe result, and it is then rolled outward with thefingers from beneath the quadratus muscle—cutting the outer border of themuscle if need be—so as to expose its inner aspect, which is recognized by. Fig. 899.—lUac colostomy. Tatty Quadratus lumborum muscle, c. Linear guideto colon.
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
