A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . If a portion of thestomach has been injured sufficiently to lead probably to local gan-grene, it is often best treated by pushing the injured portion toward theinterior of the stomach and drawing the neighboring healthy tissueover it by sutures. This is done in order to prevent extravasation ofthe gastric contents into the peritoneal cavity when the sloughing oc-curs. Lemberts suture, which will be ^described under IntestinalWou
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . If a portion of thestomach has been injured sufficiently to lead probably to local gan-grene, it is often best treated by pushing the injured portion toward theinterior of the stomach and drawing the neighboring healthy tissueover it by sutures. This is done in order to prevent extravasation ofthe gastric contents into the peritoneal cavity when the sloughing oc-curs. Lemberts suture, which will be ^described under IntestinalWounds, effectually accomplishes this object, and is the proper methodof suturing to be used in closing wounds of the gastric wall. Operations upon the Stomach, Gastrostomy is the formation of a permanent opening from the ex-terior of the epigastrium into the stomach, by means of which foodmay be introduced. It is performed in cases of oesophageal strictureand of malignant disease of the cardiac orifice of the stomach. Gastrotomy is an incision into the stomach; and is performed forthe removal of foreign bodies, for the purpose of dilating a strictured Fig. Pyloroplasty : incision. (Richardson. ) condition of the pyloric or cardiac orifices, for examining the interiorof the organ and for the removal of tumor involving the walls of theorgan. Gastrorrhaphy is suturing of the stomach wall, and is demanded inwounds or rupture of the stomach and in the treatment of perforatingulcers of the stomach. GASTROSTOMY. 625 Pylorectoniy is a term used to express excision of the pyloric endof the stomach for malignant disease, just as gastrectomy is applied tooperations for the removal of any portion of the stomach. Pyloroplasty is an operation employed to enlarge the caliber of aconstricted pyloric orifice. Tt consists in making a longitudinal in-cision through the anterior wall of the pyloric end of the stomach andsuturing the wound so that the line of union will be vertical. Thisenlarge
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