A treatise on appendicitis / by George R. Fowler.

  • Fowler, George R. (George Ryerson), 1848-1906.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on appendicitis / by George R. Fowler. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    175/202 (page 169)
    passed through the lowermost layer from below upward, one through each edge of the latter. (Fig. 33.) The thread is then crossed over the layer, the needles reversing positions. The needles are then passed through the next layer, are again re- versed as regards position, thus crossing the thread again and over the second layer to be secured. (Fig. 34.) This process is repeated until all the layers are secured, the skin being the last to be included (Fig. 35), when the ends of the sutures are secured in the ordinary manner. In this manner the peritoneal surfaces Fig. 35.—Showing all three layers included in the cross suture, ready for tying. 4, ordinary hemostatic forceps temporarily securing suture for ready identification until all are ready for tying. are first secured, and then the muscular and fascial layers and skin, in turn. The dressings employed in an aseptic case consist in a num- ber of the yard squares, wrung out of the salt solution, crumpled and laid directly upon the wound. These are then covered with a thick layer of the sterilized cotton batting, and the whole secured in place by a binder with perineal straps, such as was described in speaking of the preparation of the patient.