. Manual of operative surgery. mT. Fig. 663. Fig. 664. Fig, 665. Figs. 663, 664 and 665.—Balfours operation. of sigmoid for about 3 inches having previously prevented accidental extrusionof faecal matter by the application of a guarded clamp placed sufficiently highabove the line of section. One-half inch above the cut end of the sigmoid fixthe tube to the intestine by a transverse stitch of catgut (Fig. 663). Step 3.—Have an assistant pull upon the tube projecting from the anusuntil the cut ends of the proximal and distal segments of intestine are in ap-position. Unite the upper to the lower
. Manual of operative surgery. mT. Fig. 663. Fig. 664. Fig, 665. Figs. 663, 664 and 665.—Balfours operation. of sigmoid for about 3 inches having previously prevented accidental extrusionof faecal matter by the application of a guarded clamp placed sufficiently highabove the line of section. One-half inch above the cut end of the sigmoid fixthe tube to the intestine by a transverse stitch of catgut (Fig. 663). Step 3.—Have an assistant pull upon the tube projecting from the anusuntil the cut ends of the proximal and distal segments of intestine are in ap-position. Unite the upper to the lower segment of intestine by carefully applied,interrupted, through-and-through sutures of chromicized catgut. Be carefulto coapt the mucous membranes (Fig. 664). Step 4.—Have the assistant once more pull upon the protruding tube so as toproduce an invagination of the proximal for about }^ inch into the distal seg-ment of gut. Assist this invagination by steadying the lower segment of theintestine with a few forceps. Insert sero-
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