Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . , which I have used with satisfaction, consists in splittingit down midway between the two bowel ends, and leaving it in the form of THE ABDOMEN 639 two triangular flaps, one connected with each segment. After the anasto-mosis, one mesenteric flap is placed on one side and the other on the otherside, and each is sutured to the flat surface of the mesentery as close to thebowel as possible (Fig. 1302). Whatever method of dealing with the mesentery is followed, it i
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . , which I have used with satisfaction, consists in splittingit down midway between the two bowel ends, and leaving it in the form of THE ABDOMEN 639 two triangular flaps, one connected with each segment. After the anasto-mosis, one mesenteric flap is placed on one side and the other on the otherside, and each is sutured to the flat surface of the mesentery as close to thebowel as possible (Fig. 1302). Whatever method of dealing with the mesentery is followed, it is alwaysimportant that for anastomosis a firm suture to relieve tension on the stitchesshould be placed on either side at the enteromesenteric junction. Thisshould not be placed so deeply as to interfere with the nutrient vessels. Intestinal resection is done for obstruction caused by tumors, adhesions,or stricture; for gangrene of the bowel; for wounds and perforations of thebowel too extensive or complicated for satisfactory suture; for cases ofintestinal fistula not capable of closure by simpler measures; for bowel which /.
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
