Operative surgery, for students and practitioners . A, D, stitches which pass through all the layers of theabdominal wall, including the peritoneum; B, C, stitches which pass throughall the layers of the abdominal wall, including the peritoneum, but catch upthe wall of the gut as well in their course. for and drawn into the incision, and while the gut which has beenselected is steadied in the wound a silk stitch {B, Fig. 221) in acurved surgeons needle is passed through the upper part of oneedge of the incision, through all the layers, care being taken toinclude the peritoneum; it then passes


Operative surgery, for students and practitioners . A, D, stitches which pass through all the layers of theabdominal wall, including the peritoneum; B, C, stitches which pass throughall the layers of the abdominal wall, including the peritoneum, but catch upthe wall of the gut as well in their course. for and drawn into the incision, and while the gut which has beenselected is steadied in the wound a silk stitch {B, Fig. 221) in acurved surgeons needle is passed through the upper part of oneedge of the incision, through all the layers, care being taken toinclude the peritoneum; it then passes superficially through thewall of the gut, picking up its serous and muscular coats and takinga good, broad bite or several bites, along the line of the longitudinalmuscular striae, but not penetrating into its lumen, and finally isbrought out through the opposite edge of the abdominal incision. 472 ABDOMEN AND BACK. A second stitch {C, Fig, 321) is similarly introduced in the lowerpart of the abdominal wound, and this also catches the wall of the. Fig. 222.—Colostomy. Shows the result of complete colostomy with openings result with a spur or partition between them that prevents thecontents from the upper segment of gut from passing into the lower segment.


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