Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . errupted and continuous stitch. Intestinal Resection (Partial Enterectomy).—In man removal of 80 percent, of the small intestine is compatible with life. As much as 540 cm. THE ABDOMEN 637 (18 feet), have been successfully removed. The whole of the large intestinemay be taken out without causing serious disturbance. While all of thecolon can be removed without serious impairment of health, the removal ofmore than one-half of the small intestine is a serious undert
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . errupted and continuous stitch. Intestinal Resection (Partial Enterectomy).—In man removal of 80 percent, of the small intestine is compatible with life. As much as 540 cm. THE ABDOMEN 637 (18 feet), have been successfully removed. The whole of the large intestinemay be taken out without causing serious disturbance. While all of thecolon can be removed without serious impairment of health, the removal ofmore than one-half of the small intestine is a serious undertaking. Removalof a segment of the intestinal canal is done for injury and disease. It isfollowed by intestinal anastomosis or the formation of an intestinal abdomen is opened, and the segment to be removed is identified andbrought out through the abdominal wound. The surgeon should mark withhis eye a triangle on the mesentery, having its base at the segment of bowelto be removed and its apex about one-half of the distance toward the root ofthe mesenterv. The vessels running into this triangle should be tied with. Fig. 1295.—Perforating Stitch of Connell. The first third of the through-and-through suture has been applied. the aid of the ligature carrier. The base of the mesenteric triangle to beremoved should be slightly shorter than the bowel to be removed, in orderthat the nourishment of the cut edges of the intestine shall be bowel is then emptied and clamped or its lumen obstructed by thefingers of an assistant about 6 or 8 cm. (3 inches) from the place to be towels and pads are placed in position, clamps are also placed onthe segment to be removed in order to retain its contents. The clamps placed on the bowel ends to be joined should not be at rightangles to the gut but their tips should incline toward one another. Thebowel should not be divided at right angles to its long axis, but about 25 or45 degrees away from that. This mean
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
