Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ne, grasping a fold of its free border. The fold exposed between thejaws of the forceps should be about cm. (3 inches) long. The nearest pointof this fold should be or 10 cm. (3 or 4 inches) from the beginning of thejejunum. In some cases the distance between the beginning of the jejunumand the jejunal incision need be only 6 cm. {2^/2 inches). The intestineshould be clamped so that the opening is made parallel to its long axis and onthe antimesenteric sid
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ne, grasping a fold of its free border. The fold exposed between thejaws of the forceps should be about cm. (3 inches) long. The nearest pointof this fold should be or 10 cm. (3 or 4 inches) from the beginning of thejejunum. In some cases the distance between the beginning of the jejunumand the jejunal incision need be only 6 cm. {2^/2 inches). The intestineshould be clamped so that the opening is made parallel to its long axis and onthe antimesenteric side of the bowel. The two clamps should then be brought together (or a three-bladedsingle clamp should be used), placing the fold of stomach beside that of thesmall intestine, and the rest of the stomach, intestines, and omentum re-turned to the abdomen (Fig. 1435). A small gauze pad is placed behind thetwo clamps, and the rest of the peritoneal field is covered with towels. Thefirst half of the seromuscular suture is applied with a curved needle. The sut-ureline should be at least cm. (3 inches) long—a continuous Fig. 1437.— through-and-through suture. Each end should be tied and left long with a needle on each one. Some sur-geons prefer to niake this row of interrupted sutures. If a continuous sutureis used, the ends should be laid aside when the end is reached to be used later inmaking the anterior half of the seromuscular stitch. An incision is now madewith a sharp knife through the seromuscular coats down to the mucousmembrane (Fig. 1436). This incision is made in either viscus, about 7 mm.(M inch) from the seromuscular suture. It should be about 6 cm. (2^inches) long. The mucous membrane which puffs out in this incision isgrasped by forceps and a strip cut out so that the mucous edge of the woundsshould be even with the seromuscular edges. Careful placing of flat spongesshould prevent soiling of the field during the opening of the s
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
