The Practitioner . ^ prolapse. Withthe mesentery so held by the two fingers, a pair of forceps isthrust through the mesentery, opened, and as it is withdrawn athick glass or other rod is placed within its blades and isbrought back with the instrument. The rod then securelysupports the loop of bowel. A pair of forceps covered withlint, or a boiled penholder, will act equally well in deep sutures should be used, sero-muscular union beingvery secure, and the peritoneum is not brought up to theskin. At most, a superficial stitch may be placed at each endof the wound (Fig. 6).. Fig. 6.
The Practitioner . ^ prolapse. Withthe mesentery so held by the two fingers, a pair of forceps isthrust through the mesentery, opened, and as it is withdrawn athick glass or other rod is placed within its blades and isbrought back with the instrument. The rod then securelysupports the loop of bowel. A pair of forceps covered withlint, or a boiled penholder, will act equally well in deep sutures should be used, sero-muscular union beingvery secure, and the peritoneum is not brought up to theskin. At most, a superficial stitch may be placed at each endof the wound (Fig. 6).. Fig. 6. Maydl-Reclus method of performing Colotomy. It will sometimes be found that the mesentery is undulyshort, so that there is excessive strain. It is then wise to ligateand divide the central portion of the mesentery ; otherwisethere may be pressirre-necrosis of the posterior wall of the gutagainst the rod; or else, when the rod is removed later, thespur will tend to drop back. The mesentery may also bedivided, if desired, so that the skin can be sewn under themiddle of the loop of bowel to form a bridge and increase theeffectiveness of the spur, but this is usually unnecessary, andovermuch suturing is undesirable. The dressings consist of apiece of gutta-percha tissue, or oiled silk, placed over the gut, M 2 i8o THE PRACTITIONER. with holes through which the ends of the rod project; a fewstrips of gauze, or boric hnt, wound round the whole, the firstlayer being passed under the rod to support it from the skin ;and finally a very thin film of wool. A long and broad pieceof strapp
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Keywords: ., bookcentury1800, bookde, bookpublisherlondon, booksubjectmedicine
