. Modern surgery, general and operative. Fig. 787.—^Laplaces forceps for intestinal anastomosis. The is more secure; the septum is smaller and the danger of necrosis is less,suture is shown in Plate 11. 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devised forceps which greatly facilitate suturing, which makeit easy to obtain an even suture line, and which can be withdrawn after thesuturing is finished, the small opening through which the instrument has emergedbeing closed by a stitch (Figs. 787, 788). By aid of Laplaces forceps theoperation can be neatly and rapidly performed, but a large diaphragm is formed,. Fig. 788.—End-t
. Modern surgery, general and operative. Fig. 787.—^Laplaces forceps for intestinal anastomosis. The is more secure; the septum is smaller and the danger of necrosis is less,suture is shown in Plate 11. 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devised forceps which greatly facilitate suturing, which makeit easy to obtain an even suture line, and which can be withdrawn after thesuturing is finished, the small opening through which the instrument has emergedbeing closed by a stitch (Figs. 787, 788). By aid of Laplaces forceps theoperation can be neatly and rapidly performed, but a large diaphragm is formed,. Fig. 788.—End-to-end anastomosis with the aid of Laplaces forceps. a considerable area is exposed to infection, the tissues of the diaphragm arebruised and may slough, the raw ends may grow together and cause obstruction,and it seems probable that considerable contraction will follow. Anotherobjection is that an infected instrument is withdrawn from the bowel and maycontaminate the peritoneum. OHaras forceps (Fig. 789) permit of rapid andaccurate suturing, but possess the same disadvantages as the Laplace I case within my knowledge absolute obstruction from adhesion of the I2s2 Diseases and Injuries of the Abdomen raw edges of the septum followed its employment. Figures 790 and 791 showthe use of OHaras forceps^ Of the operations previously set forth, I prefer theclamp and suture as employed by Moynihan, the oj^eration of Halsted by mat-tress sutures and without mechanical aids, and in some cases the operation withthe Murphy button. Lateral Intestinal Anastomosis.—Appro
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