Operative surgery, for students and practitioners . art of the incision. Tliese two sutures are nottied until later. The lower part of the descending colon is sought. Fig. 221.—Colostomy. The waU of the descending colon drawn into theincision and fixed. A, D, stitches which pass through all the layers of theabdominal wall, including the peritoneum; B, C, stitches which pass throughall the layers of the abdominal wall, including the peritoneum, but catch upthe wall of the gut as well in their course. for and drawn into the incision, and while the gut which has beenselected is steadied in the wo
Operative surgery, for students and practitioners . art of the incision. Tliese two sutures are nottied until later. The lower part of the descending colon is sought. Fig. 221.—Colostomy. The waU of the descending colon drawn into theincision and fixed. A, D, stitches which pass through all the layers of theabdominal wall, including the peritoneum; B, C, stitches which pass throughall the layers of the abdominal wall, including the peritoneum, but catch upthe wall of the gut as well in their course. for and drawn into the incision, and while the gut which has beenselected is steadied in the wound a silk stitch {B, Fig. 221) in acurved surgeons needle is passed through the upper part of oneedge of the incision, through all the layers, care being taken toinclude the peritoneum; it then passes superficially through thewall of the gut, picking up its serous and muscular coats and takinga good, broad bite or several bites, along the line of the longitudinalmuscular striae, but not penetrating into its lumen, and finally isbrought out through the opposite edge of the abdominal incision. 472 ABDOMEN AND BACK. A second stitch {C, Fig, 321) is similarly i
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