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Intestinal anastomosis, whereby two portions of a severed or resected bowel can be intimately joined, excluding from fecal circulation the portion of bowel which has become obstructed, was originally suggested by Maisonneuve, and was studied experimentally by von Hacken. Billroth resorted to it, and Senn modified it by substituting decalcified bone-plates for sutures.
When it is impossible to make a definite diagnosis as to the state of the nerve, it is better to expose it by operation, and thus learn the exact state of affairs without delay; in the event of the nerve being torn, the ends should be united by sutures.
He wiped his forehead, and set to work to draw down the flap of skin and put in the three sutures that were to hold it in place. Delaherche having told Gilberte that the operation was completed, she turned her gaze once more upon the table; she caught a glimpse of the captain's foot, however, as the attendant was carrying it away to the place behind the lilacs.
'Treatment'. If the cut be very deep, or divides the ball, the foot must be washed in tepid water, and the edges of the wound drawn together and retained in their position by a couple of sutures or a strap or two of adhesive plaster, and the animal confined.
When united these serrated edges look almost as if sewed together; hence their name, sutures. This manner of union gives unity and strength to the skull. In infants, the corners of the parietal bones do not yet meet, and the throbbing of the brain may be seen and felt under these "soft spots," or fontanelles, as they are called. The Bones of the Trunk. The Trunk.
These were the only structures escaping division, although the ankle-joint itself was intact. There was comparatively little hemorrhage and no shock; a ligature was applied to the vessels, the edges of the wound were drawn together by wire sutures, and the cut surfaces of the tibia were placed in as good apposition as possible, although the lower fragment projected slightly in front of the upper.
The big names of the last generation are now magazine and movie men; all save the few whose sutures have not entirely closed, and they are making their last frenzied turn to meet the new social order, as they met the floating vogues and whims so long.
It is always desirable that the outline of the horizontal section shall be smooth, flowing and symmetrical, and if there be any distinct sutures that they shall be shallow and broad; but the relative importance of this, and whether the outline be round or oval, is wholly a matter of individual taste. Some people and markets prefer one shape and others a very different one.
Praxagoras was one of the first to make an exhaustive study of the pulse, and he must have been a man of considerable clinical acumen, as well as boldness, to recommend in obstruction of the bowels the opening of the abdomen, removal of the obstructed portion and uniting the ends of the intestine by sutures.
In "Monte Beni" this oratory is minutely pictured, where "beneath the crucifix . . . lay a human skull . . . carved in gray alabaster, most skillfully done . . . with accurate imitation of the teeth, the sutures, the empty eye-caverns." Everywhere the intense picturesqueness gave material, at Montauto, for my father's romance.
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