Operative surgery . Fjg. 1018.—The operation of choledoehot-omy, Halsteds method. Traction loopsat the sides of longitudinal incision. Fig. 1019.—The operation of ehuledochot-omy, Halsteds method. Introducingthe hammer. sutures are applied, one over the heel of the hammer, the remainder at theopposite side of the handle (Fig. 1020). The advantages of the hammer are thus expressed by Halstcd : 1. The duct to be sutured can be drawn toward the incision in theanterior abdominal wall and within easy reach of the operator; it can alsobe manipulated nicely by the hammer. 2. The duct, whether normal
Operative surgery . Fjg. 1018.—The operation of choledoehot-omy, Halsteds method. Traction loopsat the sides of longitudinal incision. Fig. 1019.—The operation of ehuledochot-omy, Halsteds method. Introducingthe hammer. sutures are applied, one over the heel of the hammer, the remainder at theopposite side of the handle (Fig. 1020). The advantages of the hammer are thus expressed by Halstcd : 1. The duct to be sutured can be drawn toward the incision in theanterior abdominal wall and within easy reach of the operator; it can alsobe manipulated nicely by the hammer. 2. The duct, whether normal or thickened and dilated, is gentlyexpanded by the hammer; hence the stitches can be taken with great accu-racy and without fear of including the opposite wall or of occluding thelumen of the duct. 3. The operation is a very clean one, because the liammer blocks theduct and this prevents the escape of its contents and the contents of thegall bladder. 4. With the hammer, wounds of thin normal ducts can be easily
Size: 1551px × 1611px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
