RESECTIOH OF INTESTINE 



85 



side of the diseased tissue. The intestine is then severed 

 with scissors about i cm. from the forceps toward the dis- 

 eased part, care being taken not to let the intestinal contents 

 enter the abdominal cavity or soil the healthy tissues. The 

 incisions are carried in a v-shape, as shown in Fig. 33, into 

 the mesentery for 10 or 12 cm. The mesenteric vessels may 

 now be compressed with artery forceps and ligated. 



>i^»^ 



FIG. 33. Resection of Intestines 



I. Area of intestine to be excised isolated by two compression for- 

 ceps, 2 ; 3, dotted line indicating triangular portion of mesentery to 

 be removed. 



After thoroughly washing the cut ends of the intestine 

 with warm, normal salt solution, the two pairs of forceps 

 are brought together. One suture, with long ends, may 

 now be passed through the cut edges of the mesentery cloge 

 to the intestine and another through the edges of the con- 

 vex border of the intestines, as shown at i, i a in Fig. 34. 

 These are to serve as stays to keep the edges of the intestine 

 tense while being sutured. 



Two rows of sutures are used, the second burying the 

 first. The first half of the intestine may be united with a 



