Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . collapse and occlusion, and sewed with interrupted sutures THE ABDOMEN 683 to complete the circle. The free end is sewed, with a third row of interruptedsutures (Fig. 1358). The occluded mucous tube is then dropped back, andthe serosa-muscularis wound closed with a running chain suture whichcatches the band of fascia as it passes along. Enterostomy.—The formation of an intestinal fistula or artificial anus maybe done with the view of making it temporary or permane
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . collapse and occlusion, and sewed with interrupted sutures THE ABDOMEN 683 to complete the circle. The free end is sewed, with a third row of interruptedsutures (Fig. 1358). The occluded mucous tube is then dropped back, andthe serosa-muscularis wound closed with a running chain suture whichcatches the band of fascia as it passes along. Enterostomy.—The formation of an intestinal fistula or artificial anus maybe done with the view of making it temporary or permanent. Such openingsmay be required to relieve obstruction or for the purpose of drainage ortreatment. Jejunostomy is usually done for the purpose of introducingnourishment below the site of a disease. Low ileostomy and colostomy aredone usually to relieve obstruction, the opening being made above the an opening for artificial anus is made it should be as low in thebowel as possible. The lower in the abdominal wall the opening is made thegreater is the possibility of hernia. The operations which will be described. Fig. 1358.—Exclusion of Bowel by Mucous Membrane Constriction. A transplant of fascia has been sewed around the tube of mucosa. The seromuscularis is being closed. The needle catches also the wrapping of fascia. are those done deliberately and not as emergency expedients when the firstcoil of intestine that presents is opened. A temporary intestinal fistula is one which is to be closed after it hasserved a temporary purpose. Such a fistula in the lower part of the ileumis made as follows: A lateral intramuscular opening is made over the cecumthrough an incision (page 504) 5 to cm. (2 to 3 inches) in length. Theincision should be about 4 cm. (1^ inches) from the outer end of Poupartsligament and parallel to it. The cecum is the guide to the end of the obstruction is found and the bowel above it brought into the the obstruction canno
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
