. Journal - American Medical Association . and cut from within outwardsbetween the fingers in an upward direction. InsirtioH and fixation 0/ lltf ftlalcs.—As the in-cised bowel is supposed to be empty and kept soeither by digital compression or liy elastic con-striction with a rubber band, there is no dangerof frecal extravasation taking place. Mucus andsmall particles of fxcal matter are removed withsmall pledgets of gau/.e or cotton. Theplate is inserted while the bowel is held in thesame position as when the incision is made. Theplate is inserted edgewise, and as it is completel
. Journal - American Medical Association . and cut from within outwardsbetween the fingers in an upward direction. InsirtioH and fixation 0/ lltf ftlalcs.—As the in-cised bowel is supposed to be empty and kept soeither by digital compression or liy elastic con-striction with a rubber band, there is no dangerof frecal extravasation taking place. Mucus andsmall particles of fxcal matter are removed withsmall pledgets of gau/.e or cotton. Theplate is inserted while the bowel is held in thesame position as when the incision is made. Theplate is inserted edgewise, and as it is completelyin the lumen of the bowel, traction is made onthe sutures in .such a manner that the plate makeshalf a turn, so that its upper surface faces thewound. It is now accurately adjusted, so thatits ends are equidistant from the angles of thevisceral wound. The plate is then fixed in thislocation by transfixing the entire thickness ofthe wall of the bowel near the margin of thewound with the needle attached to the lateral orfixation Fill. ^.—neo-colostoniy without resection ol carcum. Showiugplntcit in petition, one in the ileum, the uther in the colon, us)uteral or transAxion sutures passe^l through the margin of thewound. iaa\ end ligatures hanging out of the wound, {b) poste-rior row of superficial or sutures. The lateral sutures are intended to draw the margins of the wound asunder after tying, andprevent the slipping of the plates, and for they merit the designation fixation su-ture. The end sutures serv-e to retract theangles of the wound and in holding thecoapted parts in apposition after they are all the sutures are tied the opening presentsa diamond-shaped appearance. Scarification of the serous surfaces.—In ileo-colostomy by approximation plates a maximumarea of serous surfaces is brought together be kept in accurate contact by the platesuntil they have united by the interposition ofnew tissue derived fro
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
