. Manual of operative surgery. Fig. 602 to 605. -Intussusception. Fig. 605.(Guibe.) Intussusception.—Open the abdomen. Discover the site of the obstruc-tion and attempt to reduce it. Reduction of the Intussusception.—With the fingers of one hand gently graspthe entering bowel close to the invagination; with the other hand take hold ofthe bowel immediately below the intussusceptum and gently press, stroke, coax,or milk the intussusceptum upwards. Make no traction or massage. If reduc- INTUSSUSCEPTION 447 tion is obtained, examine the involved gut most carefully, lest it should be in-j
. Manual of operative surgery. Fig. 602 to 605. -Intussusception. Fig. 605.(Guibe.) Intussusception.—Open the abdomen. Discover the site of the obstruc-tion and attempt to reduce it. Reduction of the Intussusception.—With the fingers of one hand gently graspthe entering bowel close to the invagination; with the other hand take hold ofthe bowel immediately below the intussusceptum and gently press, stroke, coax,or milk the intussusceptum upwards. Make no traction or massage. If reduc- INTUSSUSCEPTION 447 tion is obtained, examine the involved gut most carefully, lest it should be in-jured. If an elongation of the mesentery seems to have had anything to dowith the production of the intussusception, it is easy to shorten it by throwingit into folds and inserting a few stitches. If this is done, be careful not to inter-fere with the free passage of blood to the gut through the mesentery. If reduc-tion is impossible, and it frequently is, several methods of treatment are possible:I. Excision of the portion
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