Insertion of the last (fourth) row of sutures. (Lejars.)
Fig. 569
Resection of intestine with lateral anastomosis. Posterior suture inserted. The free ends of the bowel inverted and sutured. (Richardson.)
The button method depends for its success upon a mechanical device of Murphy, known everywhere as the “Murphy button,” or upon one of its modifications. [Fig. 570] illustrates the component parts of this device, which is made in various sizes and, in fact, in various shapes for different purposes, though the circular forms suffice for practically all cases. In [Fig. 572] it is seen in actual use, while [Figs. 573] and [574] illustrate the method of its insertion and securement.
Fig. 570
The Murphy button.
Fig. 571