. Operative gynecology. Fio. 581.—Abter tying the Three Pkesection Sutures and inserting the Kueber Bag a FourthStitoh, b, IS inserted. The oylinder inflated and a fourth suture inserted near the tube. ElfD-TO-SIDE AKASTOJIOSIS. 511 turned in, and tlie bowel is brought snugly and evenly togetber at tbe very pointwhich is apt to be the Aveakest in the series. From ten to twelve mattress sutures are now placed around the intestine,from mesenteric border to mesenteric ^^ border, taking care not to occlude a single vessel by pass-the case may be. All of the. ing under or over them, assutures excep
. Operative gynecology. Fio. 581.—Abter tying the Three Pkesection Sutures and inserting the Kueber Bag a FourthStitoh, b, IS inserted. The oylinder inflated and a fourth suture inserted near the tube. ElfD-TO-SIDE AKASTOJIOSIS. 511 turned in, and tlie bowel is brought snugly and evenly togetber at tbe very pointwhich is apt to be the Aveakest in the series. From ten to twelve mattress sutures are now placed around the intestine,from mesenteric border to mesenteric ^^ border, taking care not to occlude a single vessel by pass-the case may be. All of the. ing under or over them, assutures except the mes-enteric are passed before ty-ing them, and if any suturetakes up more than the submu-cosa and enters the bowel and pricksthe cylinder, this is at once knownby the escape of the air, and the suturemust be taken out and a fresh cylinderput in. After the sutures are passed and thebag is withdrawn, they are tied and cut offshort and the bowel snugly united on allsides. The use of the inflated rubber cylindernot only prevents the escape of the bowelcontents, bvit it also preserves the intes-tine from the constriction of a clamp andfrom handling by an assistant. Perhaps thegreatest advantage of the method, however,is the easy adaptation secured in luminaof various sizes, which must be broughttogether. End-to-side Anastomosis — Sigmoido-proctostomy .—1 have had butone case in which an anastomosis of the upper end of the bowel intothe side of the lower end was necessary (see Johns. Hojjk. HospBull., Feb., 1895). The patient (B. W. M.,1161)
Size: 1667px × 1499px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
