Abdominal surgery . - and clamphas reached perfection as nearly as any surgical procedure minute accuracy of his manipulation, leaving a thin grey 1849. Maissonneuve of Paris twisted the entire pedicle. 1850. Atlee used the ecraseur, and many followed Hutchinson invented clamp. i860. Sir James Simpson, acupressure inside abdominal wall. 1865. Koeberle invented his serre-noeud, or wire constrictor, with which he grooved the pedicle prior to Baker Brown used Stillings Masslovsky, double-flaps, and stitched them. i86g. McLeod of Glasgow, torsion betw
Abdominal surgery . - and clamphas reached perfection as nearly as any surgical procedure minute accuracy of his manipulation, leaving a thin grey 1849. Maissonneuve of Paris twisted the entire pedicle. 1850. Atlee used the ecraseur, and many followed Hutchinson invented clamp. i860. Sir James Simpson, acupressure inside abdominal wall. 1865. Koeberle invented his serre-noeud, or wire constrictor, with which he grooved the pedicle prior to Baker Brown used Stillings Masslovsky, double-flaps, and stitched them. i86g. McLeod of Glasgow, torsion between two pairs of strong Emmet, 18 cases treated with silver wire. Billroth catches pedicle betvveen two forceps, ligatures, and divideswith thermo-cautery. Nussbaum ties pedicle in sections with catgut and drops 118 OVARIOTOMY. translucent band of anaemic but still living tissue, few surgeonscan hope to equal, and certainly none to excel; and, in the faceof the undoubted safety of the more easy and rapid ligation,I doubt if many surgeons will seek to imitate him. The silk ligature is now almost universally used for securingthe pedicle. There is no objection to catgut, beyond the extratrouble necessary in preparing it; I have used it successfully inmore than twenty cases, but have now given it up for , as far as written records may be trusted, no special virtueresides in any form of silk, providedit be strong and pure. Chinese twist,of thickness varying according to thesize and vascularity of the pedicle, ismost generally used. It is first scaldedin boiling water, and then soaked in anti-septic lotion. There are many methodsFig. 13. of tying the ligature; no method, in my Taits Staffordshire Knot. opinion, is superior to Lawson TaitsStaffordshire knot. (Fig. 13.) An ordinary handled ne
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