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    none: Fig. 4. Tracé du volet ostéo-tégumentaire postérieur ; ses rapports avec les sinus et le pressoir d'Hérophile. Légende : P, pressoir d'Hérophile ; SL, sinus latéral ; SG, sinus longitudinal supérieur ; T, orifice de trépanation de la mastoïde, poussée jusqu'au sinus ; L, lambeau ostéo-cutané à charnière inférieure
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    none: Fig. 5. H, pressoir d'hérophile ; A, extrémité trhombosé du sinus latéral, provisoirement fermée la pince P ; S, bout central, sain, du sinus latéral, que l'on ferme par un surjet de catgut ; B, tracé de la brèche osseuse qui permettra de suturer à la peau l'ouverture du bout infecté A, C, volet ostéo-tégumentaire à charnière inférieure
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    none: Fig. 6. Hernie scrotale congénitale avec hernie propéritonéale étranglée. A, péritoine pariétal ; B. fascia transversalis ; P, hernie propéritonéale étranglée par le collet du sac C ; S, hernie scrotale non étranglée ; T, testicule. Les deux anses herniées n'étaient pas voisines dans la continuité de l'intestin / Fig. 7. Hernie crurale avec hernie vésicale extra-sacculaire opérée par voie inguino-crurale (schéma). A, anneau d'étranglement ; AC, arcade crurale ; G, aponévrose du grand oblique ; P, petit oblique : T, transverse ; F, fascia transversalis et péritoine ; S, sac herniaire ; V, vessie ; I, intestin ; F, épiploon. - La flèche passant par le canal inguinal indique la voie suivie pour lever l'occlusion en dégageant l'épiploon
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    none: Fig. 8. Pince à entérorraphie circulaire aseptique. a, la pince complète et fermée ; b, l'une des branches, telle qu'elle se trouvait dans l'instrument monté : c, d, cette même branche jouant sur sa charnière longitudinale pour effacer l'anneau terminal et permettre, dans la position d, son introduction dans le sac intestinal par une étroite boutonnière. En e, la serre-fine d'assemblage des deux branches
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    none: Fig. 9. Occusion de l'intestin par écrasement et ligature ; confection du noeud spécial (1er temps). i i, portion d'intestin à conserver ; b, portion malade supprimer ; c, c, clamps coprostatiques ; e, sillon d'écrasement ; b, boucle qui sera nouée au 2e temps avec le chef f ; f' chef dont la traction libérera plus tard le noeud terminé
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    none: Fig. 10. Occusion de l'intestin par écrasement et ligature ; confection du noeud spécial (2e temps). Mêmes lettres que dans la fig. 9. La deuxième partie du noeud étant serrée, le chef f est coupé ras, et la boucle T réduite à 4mm de la longueur par traction mesurée sur le chef f'
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    none: Fig. 11. La pince spéciale P, qui soutiendra la paroi pendant la suture et rapprochera les bouts intestinaux i, i, va être introduite, l'anneau brisé fermé, par la boutonnière O. Le bout restant sera traité de même avec la seconde branche de l'instrument. Mêmes lettres que précédemment
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    none: Fig. 12. Les deux branches de l'instrument ont pénétré dans l'intestin, et, par le jeu de la charnière, les anneaux brisés terminaux ont repris la forme circulaire. M, moignons résultant de la ligature du mésentère désinséré jusqu'au bord des anneaux soutiens. Pour le reste, mêmes lettres que dans les autres figures
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    none: Fig. 13. Exécution de la suture (1 plan) sur la pince soutien. a, Aïguille courbe ronde ; r, fil de suture. Les autres lettres comme plus haut
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    none: Fig. 14. Schéma de la réunion terminée. A, collerette écrasée du bout afférent, libérée de sa ligature, invaginée dans la collerette B du bout inférieur, qui se retrousse en manchette interne ; elle forme pont sur la suture ; I, I, boutonnières d'engagement des branches de la pince, rejetées par la suture dans la cavité intestinale ; 1, 2 surjets (1er et 2e étages)
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    none: Fig. 15. Salpingopilastie (schématique). A, incision longitudinale d'un rétrécissement du corps de la trompe
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    none: Fig. 16. Salpingoplastie (schématique), deuxième temps : Réunion verticale de la fente horizontale et drainage de la trompe par l'utérus. U, cavité utérine ; P, pavillon tubaire ; A, réunion verticale de la fente horizontale pratiquée au niveau du rétrécissement (On voit dans l'intérieur de la trompe la bougie de baleine B, qui va conduire du pavillon vers l'utérus les fils de drainage D) ; F, un fil de réunion de la fente tubaire
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    none: Fig. 17. Salpingoplastie (schématique), dernier temps : enfouissement de la suture autoplastique. U, utérus ; V, vessie ; O, incision exploratrice de l'ovraire, non suturée ; P, pavillon tubaire ; S. salpingoplastie terminée ; F, F', premiers fils devant enfouir l'incision tubaire dans un repli séreux A, fixé en A' et soulevé par la pince. Le chef postérieur des fils F, F' devrait suivre un trajet sous-péritonéal jusque derrière la trompe, sous laquelle il chemine
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    none: Fig. 18. Suture par agrafage avec la pince primitive de Michel. - Nécessité de quatre mains
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    none: Fig. 19. Suture par agrafage avec une pince quelconque recevant le porte-agrafe. Deux mains sont suffisantes
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