. Operative gynecology. Fig. 571.—The Lateral Sutuhes tied also, making a Pocket. beyond its mesentery upon which it depends for nutrition. The sutures are laidabout 2 millimeters apart, as nearly as possible in a straight line around thebowel, and all of them are put in place before a single one is tied ; each sutureis made to penetrate but not to perforate the fibrous layer of the gut close to its. Fig. 572.—Kemaining Sutures in Place ready to complete the Union on all Sides. The bowel is now freely opened between the upper and lower layer of sutures, establishing the anasto-mosis in the dir
. Operative gynecology. Fig. 571.—The Lateral Sutuhes tied also, making a Pocket. beyond its mesentery upon which it depends for nutrition. The sutures are laidabout 2 millimeters apart, as nearly as possible in a straight line around thebowel, and all of them are put in place before a single one is tied ; each sutureis made to penetrate but not to perforate the fibrous layer of the gut close to its. Fig. 572.—Kemaining Sutures in Place ready to complete the Union on all Sides. The bowel is now freely opened between the upper and lower layer of sutures, establishing the anasto-mosis in the direction of the arrows. margin, in order to avoid turning in a broad flange toward the lumen of thebowel to act as an obstruction (see Figs. 574 to 677). On account of the diffi- 508 INTESTINAL COMPLICATIONS. culty of accurate approximation at the mesenteric border a painstaking attentionmust be given to each stitch as it is laid ; the union at this point will be further »b>-. ^Ij00^^^ ^,/ m i iSSia .iiiS^^!5iS^i*:?ii J.,,. , ,^;^ Fig. 573.—Lateral Anastomosis completed, all the Sutures fecal current now freely follows the couree indicated by the arrows. facilitated by selecting a spot for the resection which is free from fat and largevessels. A good resection is characterized by good union on all sides, and fur-ther by the absence of post-operative adhesions about it. KALEVI
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
