Annals of surgery . e, his operationwould be preferable to an artificial anus, if the opening where theanastomosis was made did not, with time, contract too much. Murphy demonstrated that by using his button anastomosesof the intestine could be made, either end-to-end or lateral, in a TRANSPLANTATION OF INTESTINE. 579 few minutes. I have confirmed this by experiments many times since his report. The operation for transplanting intestine consists in com-pletely removing a portion of a loop of small intestine that islying in proximity to the rectum, and anastomosing each end withthe rectum, so a
Annals of surgery . e, his operationwould be preferable to an artificial anus, if the opening where theanastomosis was made did not, with time, contract too much. Murphy demonstrated that by using his button anastomosesof the intestine could be made, either end-to-end or lateral, in a TRANSPLANTATION OF INTESTINE. 579 few minutes. I have confirmed this by experiments many times since his report. The operation for transplanting intestine consists in com-pletely removing a portion of a loop of small intestine that islying in proximity to the rectum, and anastomosing each end withthe rectum, so as to form a new channel around the mesentery of the severed piece of gut is left intact. A pieceof intestine is selected from the loop at a point where themesenteric bloodvessels supply a large nutrient artery for eachend of the piece to be transplanted. It is necessary to remember,in cutting out a piece for transplanting, that it must be longenough to extend from a point below the stricture to a point. Fig. 3.—Transplanted piece in position, with anastomosis above and below thestricture,^. (Threads should not look as if perforating the gut wall.) above the stricture, where the rectal wall is not too muchthinned by ulceration, and also to remember that the button tobe inserted into each end will shorten the piece about one andone-half inches. The operation is completed by scarifying the approximatedsurfaces of the rectum and transplanted piece of gut, and suturingthem together, so as to have the two walls cemented into one firmseptum. At a subsequent operation this septum is removed t>ycompression forceps, and the lumen of the rectum and trans-planted piece is made into one cavity; and the sloughing out ofthe compression forceps will destroy one half of the stricture,together with the septum, thus putting an end to the contraction 58o JOSEPH B. BACON. of the cicatricial tissue forming the stricture. The mesentery ofthe transplanted piece is sutured in close a
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
