The Technic of Operations Upon the Intestines and Stomach (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 Excerpt: ...of hollow viscera has become identified with the name of McGraw. Although the actual originator of the method was J. M. Gaston,1 it was the practical technic of McGraw which brought the method into favor. Since McGraw's first article appeared2 there have been various minor improvements suggested, all of which were summarized by F. T. Murphy in a paper which contains several useful original details. The technic described below is, substantially that recommended by McGraw and by Murphy. The ligature is made in tl1reesi7.es: large, 5 mm.; 1 Gaston, J. M. Atlanta Mid. and Surg. Journal, 18S4-5, Vol. I, pp. 336, 385. Ibid., 1885-6, Vol. n, pp. 305. 533-McGraw. Journal Am. Mid. Asso., Ts9t, Vol. xvt, p. 685. 5 Murphy, V. T. Huston Med. and Surg. Journal, January 28, 1904. medium, 4 mm.; small, 3 mm. The largest size is very much stronger than the others, and cuts out rapidly, but the medium size (4 mm.) is preferable on account of its elasticity. Ochsner prefers the smallest size. The needle which McLean1 has devised to hold the ligature has rendered the technic simpler (Fig. 117). This needle is made in several sizes. In place of an eye a hook is substituted at one end, over which the ligature is stretched and caught. The rubber is prevented from slipping off by a movable ferrule which is forced down over the ligature as it is held by the hook, thus tightly joining the end of the ligature to the needle. The size of the ligature must be carefully chosen so that the ferrule cannot work Ftg. 117.--Mclean Needle For The Rubber Ltgature. Enlarged in diameter. Method of attaching the ligature to the needle. loose. One case has been reported where the ferrule slipped down over the rubber with unfortunate results.2 The limitations in the use of the McGraw ligature are n...