A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . uld be stopped by means, offine ligatures. Care must be taken not to devitalize the intestinalcoats by compression of these vessels with large haemostatic forceps,which grasp a great deal of tissue. Small pointed arterial forcepsshould be used, and only the vessels should be enclosed in their grasp. The most important and tedious step in enterectomy is stitchingtogether the cut tube, which must be well done in order to prevent e
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . uld be stopped by means, offine ligatures. Care must be taken not to devitalize the intestinalcoats by compression of these vessels with large haemostatic forceps,which grasp a great deal of tissue. Small pointed arterial forcepsshould be used, and only the vessels should be enclosed in their grasp. The most important and tedious step in enterectomy is stitchingtogether the cut tube, which must be well done in order to prevent ex-travasation of feces into the general peritoneal cavity after the ab-dominal wound has been closed. Fine twisted silk makes the bestsutures. They should be carried through the peritoneal and muscularcoats, but should never perforate the mucous membrane so as to enterthe lumen of the bowel. If any sutures are inserted for the purposeof uniting the mucous membrane, they must be tied on the inside ofthe gut and not come through to the peritoneal surface. The Lem-bert suture is probably the best form to use after resection of the in- Fig. 370. Fig. 371. Fig. Quilt suture. Lembert suture. (Tillmanns.) Continuous Lem-bert suture ap-plied to intestine. testinal tube. After the insertion of these sutures the continued su-ture may be used as an additional means of support at any danger-ously weak spot in the bond of union. The quilt suture is anothersatisfactory method. Fig.
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