. Plexus. ished by a continuous herring bone suture (Fig. 9)of silkworm gut tied at each end in the ligament with the reversebow-knot. The suturing of Pouparts ligament io the conjoined tendonby a continuous mattress suture (Fig. 10) of silkworm gut tied ateither end in the ligament produces the same apposition of tissues as in the Halstead operation with the buried interruptedmattress suture of silver wire. In general, the advantages of this method of suture are: (1) Certainty that all suture or ligature material placed inthe wound has been made sterile by boiling in water. (2) Accurate layer
. Plexus. ished by a continuous herring bone suture (Fig. 9)of silkworm gut tied at each end in the ligament with the reversebow-knot. The suturing of Pouparts ligament io the conjoined tendonby a continuous mattress suture (Fig. 10) of silkworm gut tied ateither end in the ligament produces the same apposition of tissues as in the Halstead operation with the buried interruptedmattress suture of silver wire. In general, the advantages of this method of suture are: (1) Certainty that all suture or ligature material placed inthe wound has been made sterile by boiling in water. (2) Accurate layer approximation of tissue. (3<) Removal of the buried sutures when healing is complete. (4) Capillary drainage from each layer. (5) Safety of intestines from injury during the application ofthe sutures. (6) Rapidity of application. (7) Minimum line of irritation on the peritoneal surface andconsequent adhesions to the viscera. (8) Slight scar in the skin, there being no perforation of theskin by Fig. 6.—Basting suture uniting- Pouparts ligament to conjoined tendon inthe imbricating operation for hernia. LIBRARY OF THE .UNIVERSITY tf ILLINOIS,
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Keywords: ., bookauthorcollegeo, bookcentury1800, bookdecade1890, bookyear1899
