Operative surgery . —The fusiform aneurism. Thesecond row of sutures. These may bethe interrupted or continued. If floorbe rigid the second row may be omitted. THE LIGATURE OP ARTERIES. 209 form aneurism (Fig. 243) ; close by interrupted or continuous sutures,passed as indicated in illustrations, andwithout or with the introduction of thecatheter (Figs. 243, 244), the open-ings of the main artery (Fig. 245);practice the remaining steps of theoperation as in the preceding one, caus-ing the outline of the transverse sectionto conform with that of Fig. 246). The Remarks.—This method ofpractice do


Operative surgery . —The fusiform aneurism. Thesecond row of sutures. These may bethe interrupted or continued. If floorbe rigid the second row may be omitted. THE LIGATURE OP ARTERIES. 209 form aneurism (Fig. 243) ; close by interrupted or continuous sutures,passed as indicated in illustrations, andwithout or with the introduction of thecatheter (Figs. 243, 244), the open-ings of the main artery (Fig. 245);practice the remaining steps of theoperation as in the preceding one, caus-ing the outline of the transverse sectionto conform with that of Fig. 246). The Remarks.—This method ofpractice does not interfere with thestructures contiguousto the sac, as in extir-pation. The wound isof minimum size andcumscribed boundaries,fluous sac-wall should be the sac is nourished byperivascular structures, as littleseparation of it as possibleshould take place. Vari-ous agents for control ofha?morrhage can be util-ized when the Esmarchbandage is not suitable forpurpose. Kangaroo tendon with cirSuper. theor 1.—The fusiform second row of sutures (continuous) intro-duced : the final obliterating sutures passedat either side. On tlie left, transfixion offloor is made. On the right, ends of similarsutures passed through integuments.


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