. Operative gynecology. s layer can be recognized in passing thesutures. This is done by pushing the needle vertically through the wall of theintestine after transfixing the serous and mucous coats. On reaching the fibrouslayer it at once meets with a considerable resistance, which becomes still greaterif the needle is passed horizontally through its meshes. It is not difficult withexperience to turn the sharppoint so as to pick up a shredof this fibrous layer each timeAvithout ever entering the lu-men of the bowel. Simple interrupted, mat-tress, and continuous suturesmay be used. The simple i
. Operative gynecology. s layer can be recognized in passing thesutures. This is done by pushing the needle vertically through the wall of theintestine after transfixing the serous and mucous coats. On reaching the fibrouslayer it at once meets with a considerable resistance, which becomes still greaterif the needle is passed horizontally through its meshes. It is not difficult withexperience to turn the sharppoint so as to pick up a shredof this fibrous layer each timeAvithout ever entering the lu-men of the bowel. Simple interrupted, mat-tress, and continuous suturesmay be used. The simple in-terrupted suture should onlybe used in the rectum or fora short clean cut in the smallbowel. The continuous rec-tangular suture may be appliedoccasionally to longer straighttears. The mattress suture isthe securest of all and is alwaysused in anastomosing. Fig. 502.—Closiiie of the I^eritoxeal Cuff o\er the STUiMP EVMattress and Interri:ited Sutures. Partial closure of the mesenteriolum, using interrupted Fxu. iJG;3.—Inversion and Extraperitoneal Disposal of theLittle Buttonlike beneath the ContiguousALvRGiNs OF THE Mesenteriolum. Tills is actying it, in tli complished by jiis way turning tti issing a suture, as shown, and) stuiiip in. SUTUEE OF THE INTESTIKES. 503
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
