. Plexus. e abdominalwall by elevation of the thighs and shoulders; one end of thestitch is cut short, the other end is grasped in an artery-forcepsprotected by a bit of gauze and wound up close to the skin, andtraction is made on the forceps like the handle to a corkscrew. For identification at removal, this suture may be coloredblack with silver nitrate, blue with an alcoholic solution ofmeythlene blue, or the ends knotted to correspond. The closure of the linea alba in a median laparotomy is illus-trated by Fig. 2. This is the strong layer of the abdominal wall,and if the tissues are fasten


. Plexus. e abdominalwall by elevation of the thighs and shoulders; one end of thestitch is cut short, the other end is grasped in an artery-forcepsprotected by a bit of gauze and wound up close to the skin, andtraction is made on the forceps like the handle to a corkscrew. For identification at removal, this suture may be coloredblack with silver nitrate, blue with an alcoholic solution ofmeythlene blue, or the ends knotted to correspond. The closure of the linea alba in a median laparotomy is illus-trated by Fig. 2. This is the strong layer of the abdominal wall,and if the tissues are fastened securely there can be no spreadingof the wound. For this suture coarse selected Spanish silkwormgut thirteen inches long without flaw or defect is used. A small reverse bow-knot (a diagram of which tied and looseis shown in Fig. 3) is tied four or five inches from the end of thestrand, The edges of the fascia are caught with forceps and heldup by an assistant. The suture is introduced in a firm place in. Fig. 1.—Suture of peritoneum. #* <** *< *H


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Keywords: ., bookauthorcollegeo, bookcentury1800, bookdecade1890, bookyear1899