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PUNCTURE OF THE BOWEL THROUGH ABDOMINAL WALLS. 
Fig. 144.—Showing the relative positions of the thoracic and abdominal organs. Right side. 
(After Leisering.) 
an incision may first be made through the skin with a pointed 
bistoury, and when distension is not so great as to prevent it, the 
skin should be drawn a little to one side, and the puncture made so 
The trochar, prepared as described, is then thrust through the 
abdominal wall at the point indicated. To render its passage easier, 
Fig. 143.—Showing the relative positions of the thoracic and abdominal organs. Left side. 
(After Leisering.) 
