. Modern surgery, general and operative. swallowed. The use of Murphys button (Fig. 777) permits of rapid approximation afterresection (Fig. 776). This button closely approximates the portions of the intestine within its bite, rapidadhesion taking place. Thediaphragm of tissue undergoespressure-atrophy and liberatesthe button, which is passed peranum. It is claimed that thebutton-opening contracts butslightly. For end-to-end or side-to-side approximation of thesmall intestine a No. 3 buttonis used. For similar operationson the large intestine a No. 4button is employed (Murphy).After the resect
. Modern surgery, general and operative. swallowed. The use of Murphys button (Fig. 777) permits of rapid approximation afterresection (Fig. 776). This button closely approximates the portions of the intestine within its bite, rapidadhesion taking place. Thediaphragm of tissue undergoespressure-atrophy and liberatesthe button, which is passed peranum. It is claimed that thebutton-opening contracts butslightly. For end-to-end or side-to-side approximation of thesmall intestine a No. 3 buttonis used. For similar operationson the large intestine a No. 4button is employed (Murphy).After the resection one-half ofa button is inserted into each segment, and is held in place by apurse-string suture of silk which passes through all the coats (Fig. 776).The redundant mucous membrane is tucked in or clipped off, so that itwUl not be interposed between the serous surfaces. The serous surfacesare scratched with a needle and the halves of the button are locked (). It is not necessary to surround the margin of junction with sutures. Fig. -Comparison of old {a) and newMurphy buttons. (/)
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
