. Manual of operative surgery. Fig: 459. Fig. 460. Figs. 459 and 460.—Lembert suture. grasp the intestine, their points are kept together by a segment of tubingslipped over them (Fig. 457). All the above clamps are good for the prevention of escape of intestinalcontents, but certain clamps with long blades (protected by rubber tubing)not only serve this purpose but control hemorrhage and may be employed ashandles by which the segments of gut can be held steadily in a position con-venient for suturing, etc. Such clamps are: Doyens (Fig. 458), Hartmanns,Moynihans, Harringtons, Scudders, etc. A c
. Manual of operative surgery. Fig: 459. Fig. 460. Figs. 459 and 460.—Lembert suture. grasp the intestine, their points are kept together by a segment of tubingslipped over them (Fig. 457). All the above clamps are good for the prevention of escape of intestinalcontents, but certain clamps with long blades (protected by rubber tubing)not only serve this purpose but control hemorrhage and may be employed ashandles by which the segments of gut can be held steadily in a position con-venient for suturing, etc. Such clamps are: Doyens (Fig. 458), Hartmanns,Moynihans, Harringtons, Scudders, etc. A clamp good for gastro-enteros-tomv is good for most intestinal Fig. 461.—Lembert suture. Intestinal Suture.—The most common material for intestinal suture is finetwisted silk—preferably black. The disadvantage of silk is that when wetit is difficult to pass through the eye of a fine needle. To avoid this difficultya sufficiency of needles should be threaded before sterilization is begun. Theauthor generally uses fine waxed silk or linen. Fine chromicized ortanned catgut is excellent. The best needles are the ordinary seamstressneedles, about one and a quarter inches in length. Various curved needles(without any cutting-edge) are useful and can be obtained in any goodinstrument store. LEMBERT SUTURE 353 The intestinal wall consists of the following tunics: the serosa, the musculosa,the submucosa, and the mucosa. The submucosa is the firm, thin tunicwhich is used in making sausages. It provides the mostreliable hold for a suture. Lembert Suture.—This is the basis of almost all methodsof intestinal suture. Its aim is to close an intestinal w
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