. Manual of operative surgery. Fig. 611. Figs. 611 axd Fig. \. Methods E and F.—^Instead of dividing the gut, and before opening it,Mosetig-Moorhof creates a valvular obstruction in the lower segment by insert-ing a few Lembert sutures (Fig. 612). The same object may be attained by en-circling the gut with a loop of wire or with a purse-string suture of silk. Method G (Wyeths Operation).—x\ll the methods already described havebeen devised in the belief that prolapse of the afferent segment of the gut is theprincipal trouble after colostomy. This belief isnot correct. The chi

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. Manual of operative surgery. Fig. 611. Figs. 611 axd Fig. \. Methods E and F.—^Instead of dividing the gut, and before opening it,Mosetig-Moorhof creates a valvular obstruction in the lower segment by insert-ing a few Lembert sutures (Fig. 612). The same object may be attained by en-circling the gut with a loop of wire or with a purse-string suture of silk. Method G (Wyeths Operation).—x\ll the methods already described havebeen devised in the belief that prolapse of the afferent segment of the gut is theprincipal trouble after colostomy. This belief isnot correct. The chief trouble is that there is norectum to act as a natural reservoir for faeces. Thefollowing operation provides such a reservoir andalso prevents any great prolapse of mucousmembrane. Step I.—Make an incision through the skinalone, parallel to and i}-^ inches below theHarrison Crippsline of incision (page 454). Pullthe superior edges of the skin incision upwards soas to expose the deep structures of the belly-wallat the H

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