. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . operated on are finally inspected, washedwith sterile salt solution, freed from underlying gauzeprotective pads,antl dro]ipcd backfearlessly into tlrabdominal cavityto assume whatevposition the forcegravit_y and theirsurroundings mpermit. In adopting thismethod the op-erator has nofear that theweighty metalbutton willdrag the bowelinto a kink, or,in the case ofthe large intestine,that facal matterwill choke the cal-ibre of the is there anydelay in the fr
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . operated on are finally inspected, washedwith sterile salt solution, freed from underlying gauzeprotective pads,antl dro]ipcd backfearlessly into tlrabdominal cavityto assume whatevposition the forcegravit_y and theirsurroundings mpermit. In adopting thismethod the op-erator has nofear that theweighty metalbutton willdrag the bowelinto a kink, or,in the case ofthe large intestine,that facal matterwill choke the cal-ibre of the is there anydelay in the freeand prompt transitof all intestinal con-tents. The time requiredfor the performanceof this operation isfrom twenty tothirty minutes. There are timeswhen, in the pres-ence of a perforat-ing idcer of thebowel, or of a smallgangrenous patchsuch as is oftenfound imder thesharp edge of astrangulating her-nial ring, the operator must choose between resectionof a portion of the whole tube of the bowel, or inversionof the small defect by stitch. If the perforation is qtiitesmall, a purse string, or two Lembert or Halsted stitches,. Fig. Suture. (Halsted.) 178 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. lutestlnal Surgery,Intcstlual Surgery. will suffice. But when, as in the case of a gangrenousarea, the patcli to he removed is larger, the stitches willnarrow the calihre of the bowel too much and cause ob-struction by kinking. It is then that a method of stitch-
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