. Operative gynecology. S- . j^ i- ..? i. TiNAL Needles, Threaded the rectum IS torn Open the ditncultics ot gettmg atEL.° >JactuTlsTze! ^° the field of operation are much greater than elsewhere,75 m,i ? \ I 504 INTESTINAL COMPLICATIONS. but, on the other hand, the remarkable thickness of this part of the bowel makesit much easier to suture it and to bring the edges of the tear into accurate appo-sition. I prefer in this case to use interrupted sutures placed close togetherand passed with a small curved needle and a fine silk carrier. A straight needlecan not be used with advantage, because
. Operative gynecology. S- . j^ i- ..? i. TiNAL Needles, Threaded the rectum IS torn Open the ditncultics ot gettmg atEL.° >JactuTlsTze! ^° the field of operation are much greater than elsewhere,75 m,i ? \ I 504 INTESTINAL COMPLICATIONS. but, on the other hand, the remarkable thickness of this part of the bowel makesit much easier to suture it and to bring the edges of the tear into accurate appo-sition. I prefer in this case to use interrupted sutures placed close togetherand passed with a small curved needle and a fine silk carrier. A straight needlecan not be used with advantage, because there is not room enough deep downin the pelvis to push it in and draw it through. It is most necessary in these cases not to constrict the lumen of thebowel, as the suturing will not standthe pressure of formed fecal matteraccumulating on the proximal side ofthe stricture. In these rectal cases the tear ismost apt to occur during the enuclea-tion of inflammatory masses from thepelvis, and in that event the bowel.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
