. A manual of gynæcology and pelvic surgery, for students and practitioners. 40 POST-OPERATIVE COMPLICATIONS AND SEQUELS atrophic, and this disparity in size renders end-to-end uniondifficult. Foreign Bodies in the Abdominal Cavity.—It is difficult tounderstand how and why an instrument can be left in the ab- M kT m ^H -v^tt If •Tv 1 ^ w -T^fT ^/ ^ A m^ ^ r-. Fig. 287.—Intestinal resection. Lateral anastomosis. Detail of passing pos-terior one-half of through-and-through stitch. domen, but this accident or oversight has-occasionally is more difficult to understand why sponges are n
. A manual of gynæcology and pelvic surgery, for students and practitioners. 40 POST-OPERATIVE COMPLICATIONS AND SEQUELS atrophic, and this disparity in size renders end-to-end uniondifficult. Foreign Bodies in the Abdominal Cavity.—It is difficult tounderstand how and why an instrument can be left in the ab- M kT m ^H -v^tt If •Tv 1 ^ w -T^fT ^/ ^ A m^ ^ r-. Fig. 287.—Intestinal resection. Lateral anastomosis. Detail of passing pos-terior one-half of through-and-through stitch. domen, but this accident or oversight has-occasionally is more difficult to understand why sponges are not over-looked more often than they are, and the comparative rarityof this untoward event is a tribute to the general skill andcompetence of those concerned in the performance of abdominaloperations. FOREIGN BODIES IN THE ABDOMEN 641 Cigarette drains and portions of packing gauze are sometimesoverlooked when considerable drainage has been introduced,and this is best prevented by having the assistant or nursenote on the chart the number of drains inserted, before the. Fig. 288.—Intestinal resection. Lateral anastomosis. Detail of passing anteriorone-half of through-and-through stitch. The mucosa is not turned in. patient leaves the surgery. Many methods of counting spongeshave been devised in an effort to prevent their loss. Packages containing a set number to faciUtate counting,count of the number used by one nurse detailed for that purpose,metal tags attached to each sponge, etc., have all been tried,41 642 POST-OPERATIVE COMPLICATIONS AND SEQUELS but each presents the weakness of human fallabiHty in thecounting. The use of one or two large sheets acts to prevent the loss ofthe sheets, but does not prevent the accidental loss of smallsponges which may be placed upon the instrument table, or
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