. A new manual of surgery, civil and military. ^^i;::;;;;;^^ Lateral Anastomosis of Intestines with Murphy Button. This plate does not show the end of the intestine properly; the tissue should be representedas inverted into the lumen of the intestine by means of Lembert sutures at (d) and (e). At(a) the purse-string suture is represented as applied properly, with the stitches near the edgeof the incision. At (b) the segment of the button is in place and the purse-string suture hasbeen tied. It is better to introduce the button through the open end of the intestine and tomake a very small punct
. A new manual of surgery, civil and military. ^^i;::;;;;;^^ Lateral Anastomosis of Intestines with Murphy Button. This plate does not show the end of the intestine properly; the tissue should be representedas inverted into the lumen of the intestine by means of Lembert sutures at (d) and (e). At(a) the purse-string suture is represented as applied properly, with the stitches near the edgeof the incision. At (b) the segment of the button is in place and the purse-string suture hasbeen tied. It is better to introduce the button through the open end of the intestine and tomake a very small puncture of the wall, just suificient for the central portion of the buttonto protrude, then to close the ends of the intestine. It will then not be necessary to applythe purse-string sutures at (a) and (b). In uniting small intestine with small intestine the end-to-end anastomosis with tlie Murphybutton is to be preferred to the end-to-side or side-to-side anastomosis. In uniting small intes-tine with colon an end-to-side anastomosis with the Mur
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
