SUTURE 



1441 



SUZANNE'S GLAND 



he wound, and each of which is knotted. See 

 illustration. S., Jobert's, a suture for intestinal 

 ■rounds. This author has described three different 

 orms of suture, which have been called after his 

 lame. See Illustration. S., Knotted. See S., 

 interrupted. S., Lace, a suture in which a small 

 urved needle is repeatedly introduced around the 

 round, forming a continuous suture encircling the defi- 

 iency (fistula). S., Lapeyronie's, a modification of 

 i., Palfyn's, the thread being passed through the mes- 

 ntery. S., Lead-plate, a suture the ends of which 

 j-e attached on either side of the wound to lead-plates. 

 >., Le Dentu's {tendon). See Illustration. S., 

 ..edran's, intestinal sutures passed through the wound 

 >ne-fourth inch apart ; the threads are tied separately 

 •n each side, forming two bundles. S., Le Fort's 

 tendon). See Illustration. S., Lembert's, an in- 

 estinal suture in which the needle is passed trans- 

 ersely to the wound through the peritoneal and mus- 

 ular coats and out again on one side of the wound, 

 nd then carried across the wound and made to pene- 

 rate the two outer coats as before. See Illustration. 

 >., Littre's, in cases of gangrene of the intestine, the 

 nferior end is obliterated by ligation and the upper 

 nd is attached to the inguinal ring to form an artificial 

 nus. S., Lbffler's, a suture for intestinal wounds, 

 nterrupted metallic sutures are crossed once and 

 ttached to the abdominal wound. S., Loop. See 

 .'., Interrupted . S., Mansell's, a suture for complete 

 ansverse section of the intestine. The two ends are 

 rawn through a longitudinal slit made for the purpose 

 ! 1 one end, and the two sections accurately united by 

 j iterrupted sutures ; the invaginated portion is with- 

 rawn. and the longitudinal slit closed. S., Mattress, 

 : continuous suture which is made back and forth 

 jorough both lips of the wound. S., Metallic-plate, 

 -ee S., Button. S., Nerve, a suture of fine thread 

 ;r catgut uniting the divided ends of a nerve. S., 

 ■loose. See S., Interrupted. S., Palfyn's, a loop 

 i f thread is passed through the intestinal wound, and 

 i le ends of which are then secured to the integument. 

 >. , Pancoast's. See S. , Tongue and Groove. S., Pe- 

 lt's, a suture for intestinal wounds. As many stitches 

 s are required are passed three lines apart, the ends on 

 ach side are tied together and then twisted into two 

 undies. S., Pin. See S., Hare-lip. S., Plastic, 

 suture devised by J. Pancoast, and used by him for 

 iaperficial wounds, the extent of the approximated 

 jrfaces being enlarged to increase the chance of union, 

 he cut surface of one lip of the wound is beveled to 

 t into a groove in the other lip. The thread is car- 

 ed from without inward, first through the outer lip of 

 le groove ; then, the beveled lip, and then the deep lip 

 f the groove ; then forming a loop on the deep surface 

 f this lip, it is carried again through the same struc- 

 iires in inverse order and at a different place. The 

 ee ends are tied over a little roll of adhesive plaster 

 laced on the skin-surface of the grooved lip. S., 

 'nmary, one that is used to effect immediate closure 

 f the wound. S., Primo-secondary, the insertion 

 f sutures at the time of operation, then tamponing the 

 ound. The tampon is removed in from 1 2 to 48 hours 

 nd the sutures tied. S., Quilled, a doubled thread 

 passed and tied over quills or a soft catheter ; usually 

 mployed as sutures of relaxation. See Illustration. 

 ., Quilt, one similar to S., Alattress. S., Ramdohr, 

 Pagination of the upper portion of the intestine into 

 ie lower, followed by suture. S., Rat-tail, a material 

 btained from the rat's tail. S. of Relaxation, one 

 ;iat is introduced some distance from the wound-mar- 

 |in, carried through its depths, and made to emerge at 

 «ne distance on the opposite side. The intention is to 

 91 



relieve the tension of the wound-sutures. S.. Relief. 

 See S. of Relaxation. S., Reybard, the employment 

 of thin, oval plates of deal earning threaded sutures, 

 to unite the divided intestine. S., Richter's, a 

 suture for intestinal wounds. Interrupted metallic 

 sutures that are twisted and brought out of the ex- 

 ternal wound. S., Rigal's. See S., India Rub- 

 ber. S., Ritisch's, a suture for intestinal anas- 

 tomosis. The suture is passed through the bowel 

 and lumen from side to side, the ends twisted, 

 and brought out of the external wound. S., Robin- 

 son's, a suture for uniting the ends of a divided 

 intestine. A rubber tube is inserted in the proximal 

 end and the mucous membrane is denuded for one-half 

 inch to receive the proximal end. A row of sutures 

 is introduced around the circumference. S., Royal. 

 See Royal. S M Sabatier's, the employment of a piece 

 of playing-card saturated with turpentine for the ap- 

 proximation of intestinal wounds. S., Sailors'. 

 See S. , Reef. S., Sanger's, in the Cesarean opera- 

 tion the insertion of 8 or 10 deep sutures of 

 silver wire through the uterine incision, followed by 

 20 or more superficial sutures through the peri- 

 toneum. S., Secondary, one that is introduced at a 

 period subsequent to the operation, as in cases in 

 which the wound has been tamponed. S., Sero- 

 serous, one that brings two serous surfaces together. 

 S., Shotted, both ends of the suture are passed 

 through a perforated shot, which is then tightly com- 

 pressed. S., Silk-worm Gut, a suture-material 

 prepared from the "silk-guts" of the silk-worm. 

 S., Simon's, a suture for lacerated perineum involv- 

 ing the sphincter ani, in which the rectal mucous mem- 

 brane, the vaginal mucous membrane, and the skin 

 are sutured separately. S., Sims'. See S., Clamp. 

 S., Spiral. See S., Glovers'. S., Spiroidal, a con- 

 tinuous spiral intestinal suture. S., Staple, a 

 sharpened wire, bent like a staple, is passed through 

 both lips of the wound and secured. S., Subcuticu- 

 lar, a buried, continuous suture in which the needle is 

 passed horizontally into the true skin back and forth 

 until the whole wound is closed. S., Sunk. See S. , 

 Buried. S., Superficial, one which includes the 

 skin only. S. of Support. See S. of Relaxation. 

 S., Symperitoneal, a sero-serous suture of the peri- 

 toneum. S., Taylors', the cobbler-stitch used to 

 bring together the flaps after amputation of the cervix 

 uteri. S. Tendon. See S., Le Dentu's, Le Fort's, 

 and Wolfler's. S., Tobacco-bag. See Stoltz's Opera- 

 tion in Operations, Table of. S., Tongue and Groove, 

 one margin of the wound is beveled on each side and 

 a V-shaped section is taken from the thickness of the 

 other flap along its free margin, longitudinally, to re- 

 ceive the first. This gives a greater extent of raw sur- 

 face in apposition. See Illustration. S., Triangu- 

 lar [of Simon), a suture for laceration of the perineum 

 through the sphincter ani ; the skin, vaginal mucous 

 membrane, and rectal mucous membrane are separ- 

 ately stitched. S., Twisted. See S., Hare-lip. 

 S., Uninterrupted. See S., Continuous. S., 

 Utero-parietal, suturing of the uterus to the inner 

 surface of the abdominal incision after Cesarean sec- 

 tion. S., Viscero-parietal, a suture used in the 

 operation of stitching a wounded organ to the abdo- 

 minal incision. S., Wolfler's, an interrupted intes- 

 tinal suture in which the knots of the stitches in the 

 mucous membrane are tied in the lumen of the bowel 

 in three-fourths of the circumference, and on the out- 

 side in the remaining portion. The serous surfaces 

 are then united by Lembert sutures. S., Wolfler's 

 (tendon). See Illustration. 

 Suzanne's Gland. A pea-sized glandular body found 



