File:Ascaris infection- Difficult intestinal anastamosis - joining up of two ends- clearly if we cut out a section of bowel we're left with two ends that need to be joined up (South Africa) (15806559973).jpg

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Description
English: A gangrenous piece of bowel was cut out (this is termed volvulus - the bowel that has twisted in a way that cuts off its blood supply; the bowel becomes dead very quickly). From the bowel ends that have to be joined up again, ascaris are emerging. The worms are all alive and waving around.

The metal surgeon clamps (haemostats) are on the small blood vessels in the bowel mesentery which is a curtain of fat and membrane that holds the bowel to the back of the abdomen and through which the arteries that supply the bowel itself go. These clamps are used to stop bleeding while the next steps of the procedure are prepared. In those days (1988) piperazine would be instilled to try to stop the worms disrupting the stiches.

Photo by Larry Hadley, South Africa <a href="http://paedsurg.ukzn.ac.za/Staff/ProfLarryHadley.aspx" rel="nofollow">paedsurg.ukzn.ac.za/Staff/ProfLarryHadley.aspx</a>

This photo was also used in this journal article:

British Journal of Surgery 1988;75:86-87 <a href="http://onlinelibrary.wiley.com/doi/10.1002/bjs.1800750130/abstract" rel="nofollow">onlinelibrary.wiley.com/doi/10.1002/bjs.1800750130/abstract</a>
Date
Source https://www.flickr.com/photos/gtzecosan/15806559973/
Author SuSanA Secretariat
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(Reusing this file)
The Sustainable Sanitation Alliance (SuSanA) is a network formed by organisations active in the field of sustainable sanitation.

The secretariat is currently located at Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ, German Agency for International Cooperation) in Eschborn, Germany.

Flickr sets
InfoField
Worldwide - Clinical photos of helminth infections
Flickr tags
InfoField
Ascaris; ascariasis; helminth; helminthiasis; worm infection

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This image was originally posted to Flickr by Sustainable sanitation at https://www.flickr.com/photos/23116228@N07/15806559973. It was reviewed on 5 February 2015 by FlickreviewR and was confirmed to be licensed under the terms of the cc-by-2.0.

5 February 2015

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current14:01, 5 February 2015Thumbnail for version as of 14:01, 5 February 2015575 × 385 (36 KB)== {{int:filedesc}} == {{information |description={{en|1=A gangrenous piece of bowel was cut out (this is termed volvulus - the bowel that has twisted in a way that cuts off its blood supply; the bowel becomes dead very quickly). From the bowel ends th...
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