Handbook for the physiological laboratory / by E. Klein [and others] ; edited by J. Burdon-Sanderson.

Date:
1873
Catalogue details

Licence: In copyright

Credit: Handbook for the physiological laboratory / by E. Klein [and others] ; edited by J. Burdon-Sanderson. 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.

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    Fif;. 317.—Arrangement of the cannula in a teniiH)rary pancreatic fistula. A, llie chief iwiicreaticiluct of the (log directed transversely ; a. insertion of tlie paucreunu ducts into tlie intestine; the insertion of tlie smaller duct is higher up, and is marked by a line without a letter; a', a branch of tlio larger duct within the gland ; a, ligature, fastening the cjiuuula T to the intestiue; //, is a thread by which the cannula is fastened into the pancreatic duct; I, is the intestine; I' I'', the pancreas; T, the silver cannula; I;, the stopcock, for letting out the pancreatic juice which has accuunilated in the india-rubber bag; V, an india-rubber bag, tied to the outer enil i»f the cannula, and used for collecting the juice. Fl<;. 318.—The left-hand diagr.^m shows the method of stitching up the end of the divided intestine so as to fi>rni a cul-ile-sac in Thir}'s fistula. The right hand figure shows the methoil of stitching together the divided intestine. The two l>]ack dots in the middle of the pieces .-ilreacl.v jtiined, indicate the position of the mesenteric vessels. The flrststitch .should surround these vessels and serve as a ligature for them. Five or six similar stitchesat each side of the first serve to joiii the one edge, as shown here. The two eutls of intestine are then pulled into the same straight line and the junction finished, as shown in fig. 319. FKi. 319.—Shows the method of applying the final stitches to join the divided intestine in Thiry's fistula. The two ends of intestine are represented iis entirely apart, but the other half of the circumference must be understood to be already sewn together in the iniuiner shown in fig, 318. FIG. 32o.-Milk. FKi. 321.—Colostrum.