Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . gsuture is introduced and a large glass tube (Fig. 1366) inserted. To prevent 694 SURGICAL TREATMENT adhesions to the dressing, the bowel may be covered with vaselin or dustedwith zinc oxid powder and covered with rubber protective tissue. Afterfive days or a week the bowel loop is cut off at either end about 6 mm. (%inch) from the skin. Bleeding from the edges is checked by a continuousover-and-over stitch through the wall of the intestine, if necessary. If foran
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . gsuture is introduced and a large glass tube (Fig. 1366) inserted. To prevent 694 SURGICAL TREATMENT adhesions to the dressing, the bowel may be covered with vaselin or dustedwith zinc oxid powder and covered with rubber protective tissue. Afterfive days or a week the bowel loop is cut off at either end about 6 mm. (%inch) from the skin. Bleeding from the edges is checked by a continuousover-and-over stitch through the wall of the intestine, if necessary. If forany reason the bowel is cut away earlier than this or the patients resistanceis poor, a few stitches should fasten it to the skin. This leaves the twobowel openings separated by 5 cm. (2 inches), each is compressed by therectus muscle, and the distal limb can be washed out or otherwise treated(Fig. 1367). Another operation for securing muscular control of the bowel is carried outthrough a straight incision, but the bowel is brought through the muscle atan opening 4 cm. to the side of the skin and peritoneal opening. This causes. V Fig. 1370.—Operation of Brinsmade for Making a Controllable Artificial Anus. the bowel to make a loop in emerging between the fibers of the muscle(Fig. 1368). The operation of Gant carries the loop of bowel through an opening inthe oblique muscle in order to secure muscular compression (Fig. 1369). An operation devised by W. B. Brinsmade (Trans. Am. Surg. Assoc, 1916)and highly recommended by him is carried out as follows: The abdomen isopened through a transverse suprapubic incision. The sigmoid having beendivided a second small incision is made through the skin about 6 cm. (2^inches) above the first incision to the left of the median line. A passage ismade by blunt dissection between the fibers of the rectus and in front of thetransversalis fascia. The proximal end of the bowel is drawn up throughthis passage and fastened by a few sutures to the per
Size: 1152px × 2169px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
