. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ) of the wound until its mesenteric attachment is on a levelwith the external incision. A sterilized glass rod or pieceof catheter, or a roll of gauze three inches in length, is REMOVAL OF THE APPENDIX VERMIFORMIS. 587 slipped through a slit in the mesocolon close to the holds the intestine in the wound and prevents itsreturn to the
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ) of the wound until its mesenteric attachment is on a levelwith the external incision. A sterilized glass rod or pieceof catheter, or a roll of gauze three inches in length, is REMOVAL OF THE APPENDIX VERMIFORMIS. 587 slipped through a slit in the mesocolon close to the holds the intestine in the wound and prevents itsreturn to the abdominal cavity until adhesions haveformed. The two limbs of the flexure of the gut exposedin the wound should be united by sutures beneath therod. If the gut is to be opened immediately, it shouldbe stitched to the parietal peritoneum of the abdominalincision. If the opening of the bowel can be postponedfor twenty-four or forty-eight hours, the introduction ofsutures is not required. The bowel may be opened by atransverse incision with a knife, or by the thermo-cautery,to avoid bleeding. REMOVAL OF THE APPENDIX VERMIFORMIS. To expose the appendix, an incision three to four inchesin length is made at the outer border of the right rectus Fig. Method of burying the stump of the appendix. (Richardson.) muscle, with its centre on a line drawn between the um-bilicus and the anterior superior spine of the ilium ; the 588 LITHOTOMY. tissues are divided layer by layer and the peritoneumpicked up and opened ; the anterior longitudinal band isrecognized and traced down to its origin at the the appendix is found, the meso-appendix is ligatedand the appendix removed. In removing the appendix,a circular incision may be made around it near its baseand the cuff turned back; the body of the appendix isthen ligated and cut off in advance of the ligature, andthe turned-back cuff brought forward and united by finesilk or catgut sutures. The appendix may also be ligatedand cut
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
