DEPARTMENT OF SURGERY. 433 
DECALCIFIED BONE PLATES USED IN LATERAL ANASTOMOSIS OF INTESTINE. 
a, and b, used in pairs; c, used singly. 
ference the stitches are not drawn up until the needle has been 
passed through all the holes of the plate, when they should be 
tightened one by one and the end of the thread fastened. 
When this suture is completed another row of stitches must be 
added at the circumference of the plate. These stitches must 
be made of catgut and should not penetrate the mucous coat of 
either portion, but bind the two serous coats together. The 
advantages of this method are few, in fact, there are none worth 
mentioning excepting that it keeps the opening that connects 
the two divisions from uniting or closing as soon as it might if 
it were not kept open by means of the plate. The after-treat¬ 
ment is the same as mentioned above. 
(b) End-to-end Anastomosis .—This is a term that has been 
improperly applied to an approximation of the ends of the in¬ 
testine when all or the greater part of a division, or a part of 
two divisions is resected ; e.g ., when the jejunum is resected 
and the duodenum connected to the ileum ; the duodenum ab¬ 
lated and the pylorus united to the jejunum ; or, the posterior 
part of the jejunum and the anterior part of the ileum are re¬ 
moved and the ends united so that the continuity of the intes¬ 
tine is restored, are all intestinal operations that have been 
named by some authorities end-to-end anastomosis. 
This intestinal operation is much the same as a simple ap- 
