Sajous's analytical cyclopædia of practical medicine . ding vessel should be ligated, andthe stomach evacuated and cleansedthrough the adventitious opening ofany substance that may have re-mained in it. If the wound be alacerated one, it may be necessary topare its edges. This being done, thetear is closed, the mucous membranebeing united with a continuous orinterrupted suture, cut short, and themuscular and serous coats by thecontinuous Lembert suture. Closureof the laceration having removed alldanger of further extravasation intothe peritoneal cavity, the latter mustbe flushed with warm, ste
Sajous's analytical cyclopædia of practical medicine . ding vessel should be ligated, andthe stomach evacuated and cleansedthrough the adventitious opening ofany substance that may have re-mained in it. If the wound be alacerated one, it may be necessary topare its edges. This being done, thetear is closed, the mucous membranebeing united with a continuous orinterrupted suture, cut short, and themuscular and serous coats by thecontinuous Lembert suture. Closureof the laceration having removed alldanger of further extravasation intothe peritoneal cavity, the latter mustbe flushed with warm, sterilizedwater and mopped out with a softsponge. The cavity is then closedand a drain left if the peritoneal sur-faces have been exposed to contami-nation for some time. Liver.—Especially when the historyof the case seems to indicate the pos-sibilitv of a lesion of this organ iscareful watching imperatively de-manded, owing to the violent hemor-rhages which they involve. Eitherthis complication or peritonitis havingbeen recognized, the abdomen should. Lines of Incision for Abdominal Exploration and Operation (Laplace). 1, median line; 2, for liver and gall-bladder; 3, for pyloric end of stomach andduodenum; -1, 4, for upper abdomen, including stomach and pancreas; 5, for spleen; C,for tail of pancreas or greater curvature of the stomach; 7, umbilicus, median line; 8,8, 9, 9, 10, 10, for intestines according to location of injury, 8 being the best forappendix as it severs no muscular fibers; 11, vermiform appendix; 12, McBurneys line;13, cecum and ileum; 14, anterior superior spinous process of the ileum; 15, 16, 17, IS,defective incisions for appendicitis: they cut across deep muscular fibers: 19, 19, foringuinal hernia; 20, 20, 21, 21, for bladder according to location of injury. ABDOMINAL INJURIES (LAPLACE). 127 be opened at once in the middle abdominal wound should belarge enough, if possible, for thesurgeon to see the liver, but in everycase he ought to make a car
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
