The vermiform appendix and its diseases / by Howard A. Kelly ... and E. Hurdon ... With 399 original illustrations, some in colors, and 3 lithographic plates.

  • Kelly, Howard A. (Howard Atwood), 1858-1943.
Date:
[1905], [©1905]
Catalogue details

Licence: In copyright

Credit: The vermiform appendix and its diseases / by Howard A. Kelly ... and E. Hurdon ... With 399 original illustrations, some in colors, and 3 lithographic plates. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    845/898 (page 781)
    when the diseased bowel is cut free from the healthy ileum above and the colon below, yet is not removed. Experience and experiment have shown that the sequestrated portion must have an exit, and this may be provided in bad cases, by a fistula (as in 3 out of 8 cases in Conrath's collection), or by bringing one or both cut ends onto the surface. In one case (Funke, Prag. med. Wochen., 1895, p. 342) an end-to-end anastomosis was made of ileum into colon, while both ends of the diseased bowel, were closed, the preexisting Fig. 392.—McGraw's Elastic Ligature fob Lateral Intestinal Anastomosis. A continuous silk suture is first applied. Above this the elastic ligature passes through all the coats of the bowel as shown. This is tied so tight that it speedily cuts its way through the bowel, establishing the anasto- mosis. The continuous suture is then carried over the elastic ligature, completely covering it in. A strong silk ligature is used to secure the knot in the elastic ligature as shown. fistula also being denuded and closed; but on the third day it was necessary to cut the fistula sutures, on account of some fever and discomfort, a measure resulting in the escape of a slimy, fecal fluid, followed b}^ immediate improve- ment. The occasion for pursuing this plan of complete exclusion in 7 of the 8 cases cited was: in one, multiple stenoses, which would have involved too extensive a resection of the bowel; in 5, the immobility of the tumor and the danger of opening paratyphlitic abscesses; and in one, the wretched