Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . -g inch) from the purse-string. A mesenteric mattress stitch is then introduced, as for simpleanastomosis. The ring is then inserted in one end of the bowel, and the purse-string tied. The mesenteric suture is then tied, the ring inserted in the other. Fig. 1346.—Bloodless Aseptic Method of Placing Anastomosis forceps, having crushed an area in the wall of the bowel, are removed; the bowel isopened with scissors in this area; the button is slipped in, a
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . -g inch) from the purse-string. A mesenteric mattress stitch is then introduced, as for simpleanastomosis. The ring is then inserted in one end of the bowel, and the purse-string tied. The mesenteric suture is then tied, the ring inserted in the other. Fig. 1346.—Bloodless Aseptic Method of Placing Anastomosis forceps, having crushed an area in the wall of the bowel, are removed; the bowel isopened with scissors in this area; the button is slipped in, and the purse-string suturetied. opening, and the second purse-string tied. The handle emerging at theantimesenteric side supports the ring. A parallel continuous suture (Cushing)is then begun close to the handle and carried around the bowel. It is fre-quently knotted to prevent slipping. When it reaches the handle, the latteris unscrewed and removed, and the suture made to close the ring falls into four pieces which are passed with the feces. These ringsare made in three different sizes. They may be used also for lateral anas-tomosis. Their value is as mechanical aids to the operation. The sur-geon who has experience and skill in intestinal anastomosis does not needthese mechanical aids. THE ABDOMEN 675 Anastomosis with absorbable mechanical devices involves t
Size: 1517px × 1647px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
