Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Pig. 1323.—Anastomosis by the Circular Occlusion bowel is to be tied tightly on either side of the disease with strong ligatures andthe ends left long. Clamps are applied on the segment to be removed between the twoligatures. The bowel is cut between the ligature and the clamp. is reached, it will be apparent how much excess of the larger segment is to bedisposed of. This should be removed as a triangle. The V-shaped gapshould be sutured serosa-to-seros
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Pig. 1323.—Anastomosis by the Circular Occlusion bowel is to be tied tightly on either side of the disease with strong ligatures andthe ends left long. Clamps are applied on the segment to be removed between the twoligatures. The bowel is cut between the ligature and the clamp. is reached, it will be apparent how much excess of the larger segment is to bedisposed of. This should be removed as a triangle. The V-shaped gapshould be sutured serosa-to-serosa by a continuous over-and-over Fig. 1324.—Anastomosis by the Circular Occlusion Method. The two tied ends are brought together and anastomosed by suture. Care should be taken that the triangle removed is not so great as to giveinadequate coaptation in closing the space; and in closing the space care VOL. 11—42 658 SURGICAL TREA TMENT should be taken that the closure is brought snugly down to the caliber of thesmaller segment. The suture is then completed, the invagination reduced,and the longitudinal wound closed. Invagination method with aid of a ring or bobbin was devised by Ullmannas a modification of the method of Maunsell. The ring or bobbin may beof absorbable material (decalcified bone, carrot or magnesium) or of slowlyabsorbable or non-absorbable metal. The ring is inserted into the openingof the two bowel ends after they have been brought out through the anti-mesenteric wound. A heavy silk thread is tied around the bowel ends, sink-ing into a groove in the ring. A rubber elastic band may be added to th
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
