Abdominal surgery . was the firstactually to carry it out. Beumer, Obermann, Miinster, Crede,and others, soon followed ; and the combined results of theseoperators, in the short time during which they have beenworking, have already placed the improved mode of Caesareansection by the conservative Sanger or Sanger-Leopold methodahead of all others. Many variations in detail have been given. Sanger atfirst recommended resection of a wedge-shaped strip of mus-cular fibre un-der the peri-toneal covering,so as to permitof the infoldingof a greateramount ofserous was foundto be unneces-s
Abdominal surgery . was the firstactually to carry it out. Beumer, Obermann, Miinster, Crede,and others, soon followed ; and the combined results of theseoperators, in the short time during which they have beenworking, have already placed the improved mode of Caesareansection by the conservative Sanger or Sanger-Leopold methodahead of all others. Many variations in detail have been given. Sanger atfirst recommended resection of a wedge-shaped strip of mus-cular fibre un-der the peri-toneal covering,so as to permitof the infoldingof a greateramount ofserous was foundto be unneces-sary, and evenharmful. It ispossible, with-out resection ofmuscular tis-sue, to fold in-wards sufficientbreadth ofserous is unneces-sary to recapit-ulate everyvariety of su-ture which has been employed ; we select one which seems thebest. A double row of sutures is used, deep and superficial.(Fig. 25.) The peritoneal covering is detached from themuscular fibre for a little distance along the margins of the. Fig. 25- Diagrams to show the placing of sutures in the uterine ivoundafter casarean section. P, peritoneum ; F, uterine fibre; M, mucous or decidual layer;U, deep uterine suture; S, superficial serous suture.
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherlondo, bookyear1887
