. American practice of surgery ; a complete system of the science and art of surgery . Pagenstechers thread, theposterior row of sutures is first applied as shown in Fig. 130. Each stitch is ap-plied squarely through all of the layers of the intestinal wall. The same sutureis carried around in front, as shown in Fig. 131. The two lateral blades of theRoosevelt forceps are removed and the final end of the suture is tied to thebeginning portion, as shown in Figs. 131 and 132. The surface is next carefully sponged and inspected throughout; and if,at any point, there is found a slight defect, this
. American practice of surgery ; a complete system of the science and art of surgery . Pagenstechers thread, theposterior row of sutures is first applied as shown in Fig. 130. Each stitch is ap-plied squarely through all of the layers of the intestinal wall. The same sutureis carried around in front, as shown in Fig. 131. The two lateral blades of theRoosevelt forceps are removed and the final end of the suture is tied to thebeginning portion, as shown in Figs. 131 and 132. The surface is next carefully sponged and inspected throughout; and if,at any point, there is found a slight defect, this can be remedied by the introduc-tion of an additional suture. The method has been found most satisfactory in careful hands. It is, ofcourse, plain that every suture must be applied with great precision, but, with 366 AMERICAN PRACTICE OF SURGERY. reasonable attention, this can easily be done. The completed operation is shownin Fig. 132. It is not necessary to use the Roosevelt forceps, which consists of threeblades so arranged that the middle blade serves as a common bladefor both. Fig. 131.—Diagram of a more Advanced Stage of the Work than that Shown in Fig. Theanterior portion of the Connell suture is almost completed, the entire Roosevelt forcei^s being still inplace. (After Connell.) forceps. The instrument has the advantage of holding the fold of the stomachand that of the intestine perfectly parallel. The ordinary stomach and intestinalclamps may be used quite as well. The method secures a narrow line of union. It prevents hemorrhage from
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
