If There Are No Obvious Signs , The

If there are no obvious signs , the restrained gut is irrigated with a warm isotonic solution of chloride of sodium. It is important to remember that guts begins with a mucous membrane, and change in a gut wall, visible from outside it a cover, appear later. The basic criteria of viability of a small intestine: restoration of normal pink colour of a gut, absence a furrow and subserous hematomas, preservation of a pulsation of small vessels and gut reductions. Indisputable signs of frailty of a gut: dark colouring of a gut, a dim serous cover, a flabby wall of a gut, absence of a pulsation of vessels , absence guts. The fifth stage - an impractical gut should be deleted. From visible from outside a border cover it is necessary not less than 30 - 40 sm of a resulting piece of a gut and 15 - 20 sm of a taking away piece. The gut resection should be made at detection in a gut wall furrows, subserous hematomas, the big hypostasis, and hematomas guts. At infringement of sliding hernias there is a necessity for an estimation of viability of that part of body which is not covered .