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Authors: Warbasse, James Peter, 1866-1957
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons
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ision should be made with its convexity just above the pubes.By drawing down the tissues above, it may be estimated where the upperincision is to be made. The excision should be carried down to the fasciacovering the muscles (Fig. 1204). The opening in the skin should be some-what larger than the floor of the wound to give good approximation. Bleed-ing should be checked by fine ligatures. The wound should be closed byrunning sutures of catgut in one or more tiers. The skin may be closed witha stronger suture. A drain should be left in the two corners of the wound. The same operation may be done laterally on each side, the ellipse run-ning vertically or again transversely. Such an excision may be carried alsodown upon the thighs. In making a median abdominal section in theobese, a vertical ellipse of fat may be removed in the middle line as a part ofthe operation. Although these wounds seem poorly supplied with blood, they healwell, and without postoperative discomfort. THE ABDOMEN 539
Text Appearing After Image:
Fig. 1204.—Excision of Abdominal Fat in Adipose and Pendulous Abdomen. A wedge of fat, as indicated by the lines of incision, is removed down to the deep fasciacovering the abdominal muscles. The transverse wound is closed by a deep and a super-ficial layer of sutures.
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