Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ressed together and the union reinforced with interrupted sutures care being taken that they do not slip back into the bowel. If the surgeonconsiders applying a serosa suture after the buttons have been pressedtogether, this should not be attempted in bowel wall which is so tightlydrawn over the button that the suture threatens to tear out or perforate THE ABDOMEN 671 the lumen. The button is liberated by pressure necrosis sometime usuallyduring the second or thir
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ressed together and the union reinforced with interrupted sutures care being taken that they do not slip back into the bowel. If the surgeonconsiders applying a serosa suture after the buttons have been pressedtogether, this should not be attempted in bowel wall which is so tightlydrawn over the button that the suture threatens to tear out or perforate THE ABDOMEN 671 the lumen. The button is liberated by pressure necrosis sometime usuallyduring the second or third week, and passed with the feces. For lateral implantation, lateral approximation and lateral anastomosis withbuttons the same principle is used. The opening is made on the antimes-enteric side of the bowel (Fig. 1343). When resection has been done, themesentery is sutured to adjacent mesentery and peritoneum. An oblongbutton may be used for lateral junctions unless the bowel is very small. Another method of making lateral anastomoses with the Murphy button,operated from within the bowel, was worked out by American
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
