. Operative gynecology. tying begunWITH the Mesenteric Suture a. Great care is taken not to include any of the vessels in a suture, as is shown by passing the needle underone vessel and over another. One essential feature was wanting to the permanent success of the operation,and that was the suture of the peritoneal surfaces of the entering and receivingIjowel. With the rough-and-ready plan of treatment adopted the patient livedfor three months and had normal bowel movements. The autopsy showed that ILEO-CECAL ANASTOMOSIS. 513 the upper part of tte bowel had retracted, leaving a cavity lined b
. Operative gynecology. tying begunWITH the Mesenteric Suture a. Great care is taken not to include any of the vessels in a suture, as is shown by passing the needle underone vessel and over another. One essential feature was wanting to the permanent success of the operation,and that was the suture of the peritoneal surfaces of the entering and receivingIjowel. With the rough-and-ready plan of treatment adopted the patient livedfor three months and had normal bowel movements. The autopsy showed that ILEO-CECAL ANASTOMOSIS. 513 the upper part of tte bowel had retracted, leaving a cavity lined by mucousmembrane between it and the ampulla. Ileo-cecal Anastomosis.—A case of fibroid tumor of the ovary (M. ¥., 2237f,Oct. 7, 1893) was complicated by tight strictures of the ileum, causing perito-nitis and the ejection of matter from the mouth having a fecal odor. Onopening the abdomen two strictures were found in the ileum, one 18 centi-meters above the ileo-cecal valve, and the other 12 centimeters above this—. Fig. 5S4.—Now that the S ABE ALL INTKODUOED, TwO OF THEM ARE Deflated Bag to be withdrawn. that is, 30 centimeters distant. The gut between the valve and the first stricturewas flat and contracted down to 1-5 centimeter in diameter. The portion between the strictures was distended with fluid, and was spindle-shaped, deeply injected, its surface covered with a light grayish lymph. Each of the strictures appeared as a little spherical nodule ] centimeter indiameter, to which the lumen of the bowel suddenly contracted. In the anglebetween the nodules and the bowel a little pus had accumulated, and from thelower nodule a thick mass extended up the mesentery 2 to 3 by 6 centimeters. 514 INTESTINAL COMPLICATIONS. The extreme dense contraction made any attempt to establish even a smalllumen through the strictures hopeless, so an anastomosis was made between thedistended ileum above the strictures and the cecum, turning the strictured partof the bowel up and flexing
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
