. Manual of operative surgery. ning and lay it along sidethe stomach stump without tension. Balfour (Surg., Gyn. Obst., Nov., 1917)prefers to select a loop of jejunum 14 to 18 inches below the duodenojejunaljunction and bring this loop anterior to the transverse colon so as to reach thestomach stump without perforating the mesocolon. Apply an intestinal clampto the loop of jejunum exactly as in gastro-jejunostomy. Unite the jejunumto the posterior wall of the stomach behind the Payrs clamp by a row ofchromicized catgut sutures (Lembert or Gould sutures) (Fig. 537). Apply an intestinal clamp to


. Manual of operative surgery. ning and lay it along sidethe stomach stump without tension. Balfour (Surg., Gyn. Obst., Nov., 1917)prefers to select a loop of jejunum 14 to 18 inches below the duodenojejunaljunction and bring this loop anterior to the transverse colon so as to reach thestomach stump without perforating the mesocolon. Apply an intestinal clampto the loop of jejunum exactly as in gastro-jejunostomy. Unite the jejunumto the posterior wall of the stomach behind the Payrs clamp by a row ofchromicized catgut sutures (Lembert or Gould sutures) (Fig. 537). Apply an intestinal clamp to the stomach proximal to the line of seroussutures. Remove the Payrs clamp. Unite the open end of the stomach to a PYLORECTOMY 401 corresponding opening now made in the jejunum, by a row of through-and-through sutures of chromicized catgut, exactly as in gastro-jejunostomy ( and 539). Remove the intestinal clamps and introduce the anterior row ofchromocized catgut Lembert sutures. Draw the entire anastomosed end of the.


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