Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . he wall of the bowel at a right angle, care being taken that the mucous 676 SURGICAL TREATMEN membrane has been penetrated. The needle is then passed along inside ofthe bowel for 7 or 8 cm. (3 inches), and then caused to penetrate the walland emerge at as near a right angle as possible. The needle is drawn outwith a pair of artery forceps, until half of the ligature remains unsoiled. Asthe needle and ligature emerge they are wiped off with a piece of gauze andpain
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . he wall of the bowel at a right angle, care being taken that the mucous 676 SURGICAL TREATMEN membrane has been penetrated. The needle is then passed along inside ofthe bowel for 7 or 8 cm. (3 inches), and then caused to penetrate the walland emerge at as near a right angle as possible. The needle is drawn outwith a pair of artery forceps, until half of the ligature remains unsoiled. Asthe needle and ligature emerge they are wiped off with a piece of gauze andpainted with tincture of iodin. The clean end is held to put the rubber onthe stretch as it passes along. The same is done in the adjacent coil (). A piece of strong silk is laid between the two ends and the ligature tiedin a half knot. The silk is then tied tightly about the half knot to keep itfrom slipping. As the rubber ligature is being drawn up for tying, the handleof a pair of anatomic forceps should press back the line of suture to preventits compression (Fig. 1349). The second half of the knot is tied and secured. Fig. 1348.—Lateral Anastomosis with the Rubber Ligature. The first row of seromuscular sutures has been placed. The rubber ligature has been introduced. Note needles of McLean. by the silk ligature. The rubber should be tied as tightly as possible toinsure cutting through, otherwise two holes will be cut and the ligature lefttransfixed by a bridge between them. The ends are then cut short. Theseromuscular suture is continued in front of the ligature. This last halfof the suture should be done with interrupted stitches (Fig. 1350). Theligature requires four or five days to cut through. A clamp method devised by E. W. Andrews (Jour. Am. Med. Assoc,May 16, 1908) employs a clamp, each blade of which is pointed, and whichis plunged into the bowel. The blades are closed and thus act as aclamp while the suturing proceeds, when the suture is completed the lastl
Size: 1918px × 1303px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
