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. Annals of surgery. cases in which the button was not passed along the canal, but wasfound in the intestine at the autopsy or at a second operation. The objections to this button are its size and weight, whichhinder its easy expulsion and passage along the intestinal canal, andthe necessary necrosis of the clamped ])ortion of intestine which ren-ders perforation liable to occur. Another objection is that it is notalways at hand and not easily obtained. Landerer has invented the following method of quickly unitingthe two ends of divided intestine without the dangers and objectionsinherent in t
. Annals of surgery. cases in which the button was not passed along the canal, but wasfound in the intestine at the autopsy or at a second operation. The objections to this button are its size and weight, whichhinder its easy expulsion and passage along the intestinal canal, andthe necessary necrosis of the clamped ])ortion of intestine which ren-ders perforation liable to occur. Another objection is that it is notalways at hand and not easily obtained. Landerer has invented the following method of quickly unitingthe two ends of divided intestine without the dangers and objectionsinherent in this button of Murphy. As yet he has tried it only upondogs and cadavers. A cylinder is cut out of a potato or turnip. This cylinder is ABDOMEN. 285 perforated by a hole made with a canula or grooved chisel, is bevelledat either end and traversed about its middle by a circular groove,(Fig. I.) This groove is one centimetre to centimetres long, andone-half centimetre to one centimetre deep. It is in shape very like. Fig. I. the bone cylinders of Neuber. These cylinders are made in varioussizes before the operation and disinfected in sublimate solutionI:1000. The two ends of intestine are brought over this cylinder. The
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885