. Operative gynecology. Makoto a Sigmoid Ands iif Occlusion of the Lowek figure shows a vertical section through the wound with two of the sutures uniting the visceral to theparietal pcritoueum. K. 0. March 23,1806. The accompanying illustrations (Figs. 58Y and 588) show how to operate:A funnel-shaped incision 6 to 8 centimeters long is made through skin, fat, mus-cles, and peritoneum, about 3 centimeters above and parallel to Pouparts liga-ment, beginning just below the iliac spine. The sigmoid is usually found justunder the incision and is sutured to the peritoneum and subperitonea
. Operative gynecology. Makoto a Sigmoid Ands iif Occlusion of the Lowek figure shows a vertical section through the wound with two of the sutures uniting the visceral to theparietal pcritoueum. K. 0. March 23,1806. The accompanying illustrations (Figs. 58Y and 588) show how to operate:A funnel-shaped incision 6 to 8 centimeters long is made through skin, fat, mus-cles, and peritoneum, about 3 centimeters above and parallel to Pouparts liga-ment, beginning just below the iliac spine. The sigmoid is usually found justunder the incision and is sutured to the peritoneum and subperitoneal tissue byinterrupted sutures of fine silk placed close together, each one penetrating thefibrous layer of the bowel. The free surface of the bowel, covering an oval ARTIFICIAL ANUS. 517 area about 2x4 centimeters should in this way be made to fill in the bottomof the incision. One of two plans may now be adopted : either the skin margins may beturned in and united to the muscular layer and the exposed bowel opened its. ! . y^ ^ ^ x^ 1 °*^ A ri w ^ ,^ t -J* r -^ „ -J Fig. 588.—Making a Sigmoid Anus. A. S. the left anterior superior spine of the iliiuii. In tlie first picture the skin and muscles are dividedand the bowel caught and attached on all sides to the peritoneum by a sero-serous suture. A few silkworm-gut sutures are introduced at each end fat the upper end in the picture) to diminish the size of the bowel is then opened in the dotted line and sutured to the skin surface, as shown in the second picture. full length the next day with tlie cautery knife after peritoneal union hasoccurred, or the bowel may be incised at once and its mucous lining dra^vai outand attached to the skin margin, which is closed in at the ends, as seen in thefigure. The subsequent care is mainly that of cleanliness. CHAPTEE MORE REMOTE REStJLTS OF ABDOMINAL OPERATIONS. 1. Introductory. Jtoral questions involved. 2. Scarcity of literature on remote results. 3. Anatom
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
