. American practice of surgery ; a complete system of the science and art of surgery . h h Fig. 278.—DiagrammaticVertical Section of a SingleIntestinal Intussusception.(From Bryants OperativeSurgery, D. Appleton & Co.,New York, Publishers.) a, The apex; h b, the neck;c c, the entering layers; d d, thereturning laj^ers; c and d, theintussusceptvmi; e e, the intus-suscipiens; / /, the jDeritoneum;g g, the rauscular coat of theintestine; h h, the naucousmembrane of the intestine. EXPLANATION OF PLATE of Both the Superior and the Inferior Mesenteric Arteries. Fig. 1 shows gangrene of l
. American practice of surgery ; a complete system of the science and art of surgery . h h Fig. 278.—DiagrammaticVertical Section of a SingleIntestinal Intussusception.(From Bryants OperativeSurgery, D. Appleton & Co.,New York, Publishers.) a, The apex; h b, the neck;c c, the entering layers; d d, thereturning laj^ers; c and d, theintussusceptvmi; e e, the intus-suscipiens; / /, the jDeritoneum;g g, the rauscular coat of theintestine; h h, the naucousmembrane of the intestine. EXPLANATION OF PLATE of Both the Superior and the Inferior Mesenteric Arteries. Fig. 1 shows gangrene of large and small bowel due to embolism of both superior and inferior mesenteric arteries. Fig. 2 shows location of emboHsm in superior mesenteric artery, causing gangrene of small intestine. Fig. 3 shows location of embolism in inferior mesenteric artery, causing gangrene of descending colon. /AMERICAN PRACTICE OF SURGERY PLATE LI. Sic I ION \ I, \ih:\v Oh ExiicMsivK Gan(;r1:nOus In-iussusci,Iriox, Dih; ro an IXVKRTED MkCKELs DIVERTICULUM I^roni 1 )r. R. C. Coffeys Article in The Annals of Suri^ery, January, 1907]. P>. i^ippincott Company, Publishers, Philadelphia SURGICAL DISEASES OF THE INTESTINES. 729 Success in operations for volvulus, as for other conditions which produceintestinal obstruction, depends to a great degree upon the promptness withwhich they are carried out. The mortality following operation rises very rap-idly in those done after the first forty-eight hours. When a volvulus is exposed an attempt at detorsion should be made. Ifthe bowel is greatly distended, this untwisting may be impossible until after
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