Plastic surgery; its principles and practice . omic catgutsuture pulls the end of the ureter into the lumen of the bowel. Theneedle is then passed once through the peritoneum and muscularis, inorder that the catgut may be tied to hold the ureter fixed within the wallof the intestine. The sides of the incision in the outer wall of the bowelare closed over the ureter, the needle including its outer tissue in two or three sutures. A second row of peritoneal sutures is placed over this, 20 3o6 PLASTIC SURGERY extending down over the tied knot of the fixation suture which holds theureter in place.


Plastic surgery; its principles and practice . omic catgutsuture pulls the end of the ureter into the lumen of the bowel. Theneedle is then passed once through the peritoneum and muscularis, inorder that the catgut may be tied to hold the ureter fixed within the wallof the intestine. The sides of the incision in the outer wall of the bowelare closed over the ureter, the needle including its outer tissue in two or three sutures. A second row of peritoneal sutures is placed over this, 20 3o6 PLASTIC SURGERY extending down over the tied knot of the fixation suture which holds theureter in place. This gives the ureter a natural duct entrance. Theslightest pressure from within closes the duct, but not sufficiently toprevent delivery of urine by the automatic and intermittent wavesof contraction occurring about six or eight times a minute during theperiod of activity (Fig. 270 and 271). The intestine is held by a few sutures to the posterior peritoneum,so as to cover the ureteral entrance. It is best to do but one side at the \cchta,cl-.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky