Modern surgery, general and operative . Fig. 698.—Moynihans meth-od of end-to-end anastomosis(Moynihan). Fig. 699.—Moynihans meth-od of end-to-end anastomosiscontinued. Fig. 700.—Moynihans meth-od of end-to-end anastomosiscontinued. Bulkhead Suture of the Intestine (Jour, of Exper. Med., No. 3, 1912).He reduces the wall of the bowel by crushing its submucous coat on each sideof the loop to be excised; he then finally ligates and cuts through by a is now a diaphragm on each end of the divided gut. He invaginates thegut by paper cylinders held in wooden mandrels, redivides it (thus

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Modern surgery, general and operative . Fig. 698.—Moynihans meth-od of end-to-end anastomosis(Moynihan). Fig. 699.—Moynihans meth-od of end-to-end anastomosiscontinued. Fig. 700.—Moynihans meth-od of end-to-end anastomosiscontinued. Bulkhead Suture of the Intestine (Jour, of Exper. Med., No. 3, 1912).He reduces the wall of the bowel by crushing its submucous coat on each sideof the loop to be excised; he then finally ligates and cuts through by a is now a diaphragm on each end of the divided gut. He invaginates thegut by paper cylinders held in wooden mandrels, redivides it (thus cutting loosethe diaphragm), and sutures it. Connell has devised a method which places the knots in the lumen of thebowxl (F. Gregory Connell, Medicine, April, 1901). He maintains thatthe placing of the knots within the lumen of the gut has the following advan-tages: there is no foreign body; the suture passes away early; adhesions toneighboring organs are few; the serous approximation is perfect; the sutureline is more secure;

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