. Surgical diseases and surgery of the dog. Dogs. The Abdomen 189. Halr-pla method of anafitomosls. Second stage. ceeding to the other side. The bowel is turned over and the sutures are applied in the same manner on the other side. The pins are then severed at their bent ends with bone forceps or stout scissors, untied and undamped, and withdrawn, one prong at a time. The remaining openings are closed with one stitch each, particular care being exercised that the margin is properly turned in at the mesen- teric attachment. Finally, the incision in the mesen- tery is closed with contin- uous su
. Surgical diseases and surgery of the dog. Dogs. The Abdomen 189. Halr-pla method of anafitomosls. Second stage. ceeding to the other side. The bowel is turned over and the sutures are applied in the same manner on the other side. The pins are then severed at their bent ends with bone forceps or stout scissors, untied and undamped, and withdrawn, one prong at a time. The remaining openings are closed with one stitch each, particular care being exercised that the margin is properly turned in at the mesen- teric attachment. Finally, the incision in the mesen- tery is closed with contin- uous suture. The bent pin method is equally serviceable for lateral anastomosis, a portion of the greater curvature being included between the two prongs in a direc- tion approximately parallel with the long axis of the gut. Of the mechanical devices employed in this operation it is only necessary to refer to the metallic button of Murphy. Other absorbable substitutes have been suggested and employed, but they are all made on the same principle. They are somewhat difficult to use on ac- count of the contraction and eversion which takes place immediately the bowel is divided, and they involve a postoperative risk, because they remain in place for a longer or shorter period, thereby becoming foreign bodies, and because they effect reunion by pressure-necrosis. The Murphy button is made in various sizes, only the smallest of which is applicable to canine surgery. It consists of two interlock- ing halves, either of which is inserted in each open end of the bowel. The margin of the latter is then gathered around the stem of the button by means of a purse-string suture, the t^o halves of the button are locked by pressing them together, thus bringing serosa into apposition with serosa, and the union is completed. A few Lembert sutures may be applied additionally if it is desired to reinforce the line of union. The button sloughs when a certain degree of reunion has taken place and is voided
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectdogs, bookyear1906
