. Manual of operative surgery. Fig. 581. Fig. 582. Figs. 581 and 582.—Connells suture. REMARKS ON ANASTOMOSIS 423 Step I.—Place the ends of the gut in apposition, with the mesenteric attach-ment of one side corresponding to that of the other. Introduce two or morefixation sutures, F (Fig. 581), to insure accuracy and uniformity in of fixation sutures, miniature volsellae may be employed. Introducethe continuous suture (S) as shown in Fig. 581. In this manner fully two-thirds or even three-fourths of the circumference of the gut may be remaining third or fourth of t


. Manual of operative surgery. Fig. 581. Fig. 582. Figs. 581 and 582.—Connells suture. REMARKS ON ANASTOMOSIS 423 Step I.—Place the ends of the gut in apposition, with the mesenteric attach-ment of one side corresponding to that of the other. Introduce two or morefixation sutures, F (Fig. 581), to insure accuracy and uniformity in of fixation sutures, miniature volsellae may be employed. Introducethe continuous suture (S) as shown in Fig. 581. In this manner fully two-thirds or even three-fourths of the circumference of the gut may be remaining third or fourth of the wound is not so simply united, but ifFig. 582 is carefully studied, the method will be clearl}^ understood. Whenthe two portions of gut are united and the suture pulled sufficiently tight, thetwo ends of the suture T, S emerge at the same point (Fig. 583, x). Step 2.—Introduce through the line of suture at the point Y (Fig. 583) athreaded needle. Make the eye-end of the needle emerge alongside the suturesT and S, at t


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