A new method of performing circular enterorrhaphy / by F.T. Paul.

  • Paul, F. T. (Frank Thomas), 1851-1941.
Date:
[1891]
Catalogue details

Licence: Public Domain Mark

Credit: A new method of performing circular enterorrhaphy / by F.T. Paul. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    into the mucous than the peritoneal coat. It is not sufficient to take the muscular and mucous coats only, as the attachment to the tube is not then sufficiently secure. When sewing the A A, the decalcified bone tube. 1, the lower or distal end perforated for sewing to the bowel ; 2, the traction thread armed with long sewing needle ; 3, its attachment to the tube. B, a stage in the operation. 1, the proximal end of the bowel with the tube sewn in ; 2, the distal end not yet sewn to the proximal end, but with the traction thread 3 passed. C, the operation completed. 1, the sheath or intussuscipiens of the invagination; 2, the Lembert sutures for retaining the parts in position. D, the parts dissected. 1, the tube in situ; 2, the traction thread cut short: 3, the proximal end of bowel entering the intussusception ; 4, the distal end supplying the returning and ensheathing layers. mesenteric border of the bowel to the tube, care should be taken to pick up the severed edges of the mesentery with the point of the needle, as this is the part most likely to give way,