Practical Surgery for the General Practitioner

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828 ENTERORRHAPHY.
which the anastomosis has been estabhshed — is unfounded. If this objection can be laid aside, it becomes evident that the operation of making an intestinal anastomosis has a great future, and will soon become the recognized procedure in the treatment of intestinal obstruction, and as a substitute for circular suturing in some forms of injuries or diseases of the intestines that require excision.
The first experiments were performed by making an incision an inch and a half to
... two inches in length through the convex surface of each bowel, and by suturing the wounds together by Czerny- Lembert sutures. The results soon showed that the operation was attended by the same dangers as suturing after circular resection — that is, gangrene of the margins of the bowel and perforation. Dr.
M. E. Connel, Superintendent of the Milwaukee County Hospital, suggested the use of perforated plates for making the lateral appo- sition in place of suturing. A few crude experiments were made with perforated discs of lead, wood, gutta-percha, and leather, and the results soon satisfied us of the expediency and greater safety of uniting the intestines in this manner.


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