Enterorraphy / by E. Stanmore Bishop.

  • Bishop, E. Stanmore (Edward Stanmore), 1848-1912.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Enterorraphy / by E. Stanmore Bishop. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    17/18 (page 15)
    peritonitis. But it should be understood that it is not the suture itself which is the cause of the peritonitis, it is rather the default of union by the suture which is the true origin, because of the escape of fsecal matters. With this belief, we ought to choose the sutures which assure most exactly the union of the wound. Since the above was written, a paper in the Comptes Rendus Hebdomadaire de la Sodete de Boulogne^ No. 23, Juin 26, 1885, by MM. Assaki and Duplay, has appeared, describing a new suture devised by them. It is as follows: After invaginating the superior end into the inferior, so that the serous surface of the former is directly opposed to the mucous surface of the latter, the authors say: “ Les choses ^tant en place, on traverse avec une aiguille munie d’un fil doublee les deux conduits invagines ^ egale distance du bord libre et du bord adherant; I’aiguille est enlev^e, le fil coupe, et on precede ^ la ligature isoMe de chacun des moities de I’intestin. L’un des fils k ligature enserre la moitie qui correspond au bord libre, I’autre la moitie a laquelle se rend le m^sent^re. Pour operer cette double hemistriction, on exerce sur les fils ime forte traction. ... II s’agit 1^ bien plus d’une ligature de I’intestin que d’une enterorraphie proprement dite. II peut etre utile pour assurer un contact plus parfait, d’ajouter quelques points de suture superficielle, et ici les choses sont disposees de telle fagon que trois points de Lembert suffisent S, affronter circulairement les sereuses des deux bouts, on en place un sur le bord convexe et les deux autres a egale distance du bord libre et du m4sent6re.” It will be seen at once that this is Bedard’s method, with the sole modification that in his one ligature surrounds the whole invaginated portion, whilst in MM. Assaki and Duplay’s suture the bowel is trans- fixed and the two halves tied separately. Moreover, Bedard trusted entirely to his method, whilst Lembert’s sutures are used to supple- ment this. [My thanks are also due to Mr. Harry Scott, M.B., late House Surgeon, Ancoats Hospital, who kindly took charge of the animals after I left Paris, and supplied me with notes of their condition.] ’’ Loc. cit. John IIeywood, Excelsior Steam Printing and Bookbinding Works, Ilulme Hall Road, Manchester.