86 



RESECTION OF. INTESTINE 



continuous suture as shown at 2 a in Fig. 34, by bring- 

 ing the two edges of serosa in apposition, and applying the 

 sutures from the lumen of the intestine. The remaining 

 half may be united with interrupted I^embert sutures 

 placed from the outside, as in b Fig. 34. 



After the two ends of the intestine have been firmly 

 united, the cut edges of the mesentery are brought to- 

 gether, either with a continuous or interrupted suture. 



FIG. 34. Resection of the Intestines. 



a. Application of first group of sutures uniting the intestine ends. 



1, I. Tension sutures for holding ends of intestine while applying 

 first sutures ; 2, continuous sutures applied from within the gut, seen 

 between the non-sutured portions. 



6. Completion of the union of the intestine, i . First layer of Lem- 

 bert sutures uniting that portion of the cut ends of intestine retnain- 

 ing open in a ; 2, second layer of sutures burying the first. 



c Completed operation, i. Sutures closing the mesenteric wound ; 



2, second layer of sutures burying the first. 



Then a large supply of warm, normal salt solution is al- 

 lowed to flow over the intestine until healthy contractions 

 have been stimulated and a normal blood flow established. 

 Should any intestinal contents have escaped into the peri- 

 toneal, cavity these should be washed out by the free use 

 of the salt solution. The intestine is then ready to be 

 replaced in the abdominal cavity and the laparotomy wound 

 sutured as described on page 78 for rumenotomy. 



