After the removal of the intestines from the body they are opened
by the intestinal shears, beginning either with the jejunum or the
large intestine, the cut being made in the line of the mesenteric
attachment. As the intestine is opened careful attention should be
paid to the contents of each portion. It is very poor technique to
dilate the intestine with water or to run water through it before
it is opened. There is danger of washing away parasites, blood,
etc. When the intestine is distended the opening is easy, but when
collapsed it can be more easily opened if an assistant straightens
it out and holds it on the stretch in advance of the enterotome. It
may be opened on the table, in the tray, or in a pail. The latter
method is a clean and convenient one. As the intestine is opened it
is passed on the flat beneath the handle of the pail as it rests on
the rim, so that the intestinal contents are scraped off into the
pail and the clean mucosa examined as it is pulled from the pail into
a basin or tray. The ileocæcal valve should be carefully examined
from above before it is cut through. The appendix may be opened from
the intestine by the small probe-pointed shears, the cut being made
on the side opposite the mesenteric attachment. Transverse sections
can be made, if desired. When the intestines are opened within the
body, the enterotome is introduced into an opening made in the ileum
just above the ileocæcal valve and the intestine is cut upward to the
duodenum, along its mesenteric attachment, the coils being drawn upon
the probe-pointed blade of the enterotome with the left hand. After
the small intestine is opened the enterotome is introduced through
the ileocæcal opening and the large intestine cut in the anterior
tænia as far as the rectum. The opening of the intestine within the
body should be left until all the other abdominal organs have been
examined, because of the disagreeable mess made by the escape of the
intestinal contents into the cavity.
Public-domain text, read in full here on John Shaqi.
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