. A new manual of surgery, civil and military. Excision of AppExXdix. Eepresents the excisionof the vermiform appen-dix, a clamp being placedat the base of the appen-dix, a second one uponthe mesenteriolum; a lig-ature is in position to tiethe mesenteriolum; thescissors are in position tocut the mesentery betweenthe appendix and theclamp upon the former;a purse-string suture hasbeen placed about thebase of the appendix uponthe end of the Cecum with AppendixEemoved. Represents the end ofthe cecum after the ap-pendix has been cut away,the remaining portionshowing the effects of thepressu


. A new manual of surgery, civil and military. Excision of AppExXdix. Eepresents the excisionof the vermiform appen-dix, a clamp being placedat the base of the appen-dix, a second one uponthe mesenteriolum; a lig-ature is in position to tiethe mesenteriolum; thescissors are in position tocut the mesentery betweenthe appendix and theclamp upon the former;a purse-string suture hasbeen placed about thebase of the appendix uponthe end of the Cecum with AppendixEemoved. Represents the end ofthe cecum after the ap-pendix has been cut away,the remaining portionshowing the effects of thepressure from the figure should showthe mesenteriolum ligatedand cut, instead of show-ing a slit in the peritc^-neum, covering the cecalend of the ileum. > Excision of Appendix. Represents the appendix buried by a second row of sutures. The longitudinal muscularband is sliown to extend down to the origin of the appendix in each of these drawings ofthe cecum. GENERAL SURGERY OF THE ABDOMEN 237 Atypical conditions. In many of these instances of chronic recurrentappendicitis it is much more difficult to remove the appendix than has justbeen stated, because it may be located in some position from which it can bedissected only with great difficulty. A not uncommon location is on theposterior surface of the cecum. Plere it is frequently completely covered withadhesions. In these cases the end is usually club-shaped and filled with fecal


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery