Surgery; its theory and practice . w as shown by the arrow in Fig. 140,through the central hole in the bone-plates and the incision in thewalls of the gut from the proximal to the distal portion of in-testine. The bone-plates hold the portions of intestine in contact,preventing any leakage of feeces till firm union has ultimately become dissolved, and, together with the sutures,are passed per anum. The advantages of this method over circu-lar enterorrhaphy as practised by the Lembert and Czerny-Lembert suture are that it can be done in a much shorter time (aquarter of an hour?),
Surgery; its theory and practice . w as shown by the arrow in Fig. 140,through the central hole in the bone-plates and the incision in thewalls of the gut from the proximal to the distal portion of in-testine. The bone-plates hold the portions of intestine in contact,preventing any leakage of feeces till firm union has ultimately become dissolved, and, together with the sutures,are passed per anum. The advantages of this method over circu-lar enterorrhaphy as practised by the Lembert and Czerny-Lembert suture are that it can be done in a much shorter time (aquarter of an hour?), and hence greatly minimizes the risk fromshock. It also appears attended with less danger of septicperitonitis, from the possibility of leakage between the sutures orthe penetration of the mucous coat by one of the Lembertstitches. The omental graft is made by cutting a piece of omentumabout an inch wide sufficiently long to encircle the intestine(Fig. 142). It is placed over the line of union and fixed by cat- FiG. 141. Fig. A Senns decalcified bone-plate threadedready for use. A fine china silk suturewith a loop at one end, the size of theaperture in the plate, is passed throughone of the suture holes, and to this loopthe three other sutures passed through thethree remaining holes are securely plates should be kept in alcohol.
Size: 1242px × 2012px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
