Abdominal surgery . tubing,small enough to pass down thedrainage tube. The tube is in-serted while the bag is empty;as the bag expands, the fluids aresucked up. It is a golden rule tokeep the abdomen dry; this maybe done by the use of the suctionapparatus every few hours. Ligatures and Sutures.—The mostStable material for ligatures isIk. There is no strong objectiont catgut; I have used it, andnothing else, in more than twentyabdominal sections, and found itanswer admirably. Its drawbacksare, the trouble necessary to its per-fect preparation, and its tendency todeteriorate by keeping. The silk
Abdominal surgery . tubing,small enough to pass down thedrainage tube. The tube is in-serted while the bag is empty;as the bag expands, the fluids aresucked up. It is a golden rule tokeep the abdomen dry; this maybe done by the use of the suctionapparatus every few hours. Ligatures and Sutures.—The mostStable material for ligatures isIk. There is no strong objectiont catgut; I have used it, andnothing else, in more than twentyabdominal sections, and found itanswer admirably. Its drawbacksare, the trouble necessary to its per-fect preparation, and its tendency todeteriorate by keeping. The silk known as Chinese twist is, onthe whole, the best. It is made in five different sizes: the thickestbeing strong enough to bear as much strain as a very powerfulman can put upon it; the thinnest being adapted for the finerwork, such as suture of wounds in the intestine. For suturingthe abdominal wall, I prefer to use plaited silk, such as is usedfor fishing lines. Its advantage is, that it does not kink or coil in. Fig. Exhausting Syringe. CLOSING THE PARIETAL WOUND. 69 the eye of the needle, as twisted silk is liable to do, and it runsthrough needle and tissues with great smoothness. For convenience of holding the silk, some sort of stand withreels may be used. One which I find convenient contains fourreels, with four different sizes of silk, fixed on a thick piece oflead : the stand may be placed in its own hard rubber case (towhich an accurately-fitting cap is screwed when it is not in use),surrounded with antiseptic fluid, and pieces cut off as they arewanted. Before operation, the whole stand may be placed forsome minutes in boiling water, to thoroughly purify the silk. For suturing the abdominal wall, Bantock speaks very highlyof silkworm gut. It sets up absolutely no tissue irritation, inthis respect being comparable with horsehair : it is superior tohorsehair, in that one thickness of it is sufficiently strong. Itsdefect is, that it is liable to break if the se
Size: 1075px × 2323px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisherlondo, bookyear1887
