. Operative gynecology. ^ ir-^ecjccjy^ ^—^^ ^<^j/ hn Fio. 566.—Human Small Intestine magnified OneHuNDKED Times to show the Relative Thick-ness OF THE Various , the peritoneum; Im, the longitudinal and cm the circular muscular coats; S is the fibrous coat, and mm the muscularis mucosie; g marks the glands, and 11 the long villi. Fig. 567.—A Section of the Colon magni-fied One Hundred (;S) the fibrous coat about ns thickas the circular muscular coat and of about thesame thickness as in the small intestine. Theletters are the same as in the last figure. may be to
. Operative gynecology. ^ ir-^ecjccjy^ ^—^^ ^<^j/ hn Fio. 566.—Human Small Intestine magnified OneHuNDKED Times to show the Relative Thick-ness OF THE Various , the peritoneum; Im, the longitudinal and cm the circular muscular coats; S is the fibrous coat, and mm the muscularis mucosie; g marks the glands, and 11 the long villi. Fig. 567.—A Section of the Colon magni-fied One Hundred (;S) the fibrous coat about ns thickas the circular muscular coat and of about thesame thickness as in the small intestine. Theletters are the same as in the last figure. may be torn into or torn across flush with the hardened infiltrated pelvic is not possible to suture together the torn surfaces under these conditions,and the first step taken must Ije to dissect out and set free enough of the lowerpart of tlie bowel to secure good tissue which can be joined to the upper endwithout traction. LATERAL ANASTOMOSIS. 505. In rectal tears opening the lumen of the bowel, except in well-closed smallwounds with healthy surrounding tissues, it is always safer to make afree opening in the vaginalvault posterior to the cervix,and to put in a washed-outio do form gauze drain for sev-eral days or a week. In one instance (J. S., 357, Sept. 2,1890) in which the muscular coats of therectum were torn through in a triangu-lar shape from the pelvic floor to thebrim, with the base of the tear at thefloor, I covered in the large denudedarea by suturing the uterus, in retroposi-tion, to the bowel on each side with acontinuous suture [Johns Roph. , vol. iii, 1894, p. 413). In another case (M. P., 5014, Feb. 18,1897) the rectum was toni completelyacross at the pelvic floor, the end beingheld together only by the mesentericborder. There was no discharge or odorfrom the bowel, which was scarcely de-tected amid the mass of pelvic torn surfaces were repaired in thefollowing way: The lower end of therect
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
