Text-Book of Operative Surgery

Cover Text-Book of Operative Surgery
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Before opening the intestine and stomach, gauze must be carefully packed under and around these organs in order that no intestinal contents may reach the abdominal cavity. The cut surfaces and the parts in the immediate neighbourhood of the sutures must be very carefully disinfected with a 1 : 1000 sublimate solution. Irrigation is undesirable, as infectious materials may -thereby be conveyed into the abdominal cavity. Except for the above-mentioned purposes, the employment of antiseptic substa
...nces is, as in all laparotomies, to be avoided, and only a - 75 per cent salt solution which has been sterilised by half an hour's boiling, and in which sterilised swabs, etc., are dipped, is to be employed. The wound in the abdominal wall is closed by strong interrupted buried sutures for the fascia, and by a continuous suture for the skin. A collodion strip is used for the deep dressing.
Any one who has witnessed the transformation experienced by a patient on whom gastroenterostomy has been performed for carcinoma of the pylorus, and still more for simple stricture, must regard this operation as categorically indicated.


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