Modern surgery, general and operative . to be excised; he then finally ligates and cuts through by a is now a diaphragm on each end of the divided gut. He invaginates thegut by paper cylinders held in wooden mandrels, redivides it (thus cutting loosethe diaphragm), and sutures it. Connell has devised a method which places the knots in the lumen of thebowxl (F. Gregory Connell, Medicine, April, 1901). He maintains thatthe placing of the knots within the lumen of the gut has the following advan-tages: there is no foreign body; the suture passes away early; adhesions toneighboring o
Modern surgery, general and operative . to be excised; he then finally ligates and cuts through by a is now a diaphragm on each end of the divided gut. He invaginates thegut by paper cylinders held in wooden mandrels, redivides it (thus cutting loosethe diaphragm), and sutures it. Connell has devised a method which places the knots in the lumen of thebowxl (F. Gregory Connell, Medicine, April, 1901). He maintains thatthe placing of the knots within the lumen of the gut has the following advan-tages: there is no foreign body; the suture passes away early; adhesions toneighboring organs are few; the serous approximation is perfect; the sutureline is more secure; the septum is smaller and the danger of necrosis is suture is shown in Plate 11. III2 Diseases and Injuries of the Abdomen Laplace has devised forceps which greatly facilitate suturing, which makeit easy to obtain an even suture line, and which can be withdrawn after thesuturing is finished, the small opening through which the instrument emerged. Fig. 701.—Laplaces forceps for intestinal anastomosis. Fig. 702.—End-to-end anastomosis with the aid of Laplaces forceps. being closed by a stitch (Figs. 701, 702). By aid of Laplaces forceps theoperation can be neatly and rapidly performed, but a large diaphragm isformed, a considerable area is exposed to infection, the tissues of the dia-phragm are bruised and may slough, the raw ends maygrow together and cause obstruction, and it seems prob-able that considerable contraction will follow. Anotherobjection is that an infected instrument is withdrawnfrom the bowel and may contaminate the peritoneum.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
