Operative surgery, for students and practitioners . ^^ cutting between the appendix andthe ligature with the scissors. If the mesentery is unusually broadseveral ligatures may be used, taking the mesentery in several appendix having been thus cut away from its mesentery allthe way back to its root, we are ready to proceed with the final. ~BO Fig. 225.—Appendicectomy. Mesoappendix has been llgated. Ligature tiedaround root of appendix and the organ amputated. The stump has not beeninverted. step of the operation,—the removal of the appendix. This maybe done in one of several ways. 1.
Operative surgery, for students and practitioners . ^^ cutting between the appendix andthe ligature with the scissors. If the mesentery is unusually broadseveral ligatures may be used, taking the mesentery in several appendix having been thus cut away from its mesentery allthe way back to its root, we are ready to proceed with the final. ~BO Fig. 225.—Appendicectomy. Mesoappendix has been llgated. Ligature tiedaround root of appendix and the organ amputated. The stump has not beeninverted. step of the operation,—the removal of the appendix. This maybe done in one of several ways. 1. Ligature Without —After the mesentery hasbeen tied oft and cut away from the appendix with the scissors, acatgut ligature (No. 2) is tied securely around the appendix aboutone-fourth inch distant from its root; the ends of this ligature areleft long to serve as a temporary tractor. The appendix is seizedwith an artery clamp upon the distal side of the ligature to preventleakage when it is cut, and with a straight scissors it is amputatedbetween the clamp and ligature. While the stump of the appendixis steadied by making traction with the ligature which was leftlong intentionally for that purpose, the raw end of the stump is OPERATIONS UPON THE VERMIFORM APPENDIX. 481 touched with pure carbolic acid on a small probe or else
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