Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . short-circuited a loop of jejunum by entero-anastomosis ( to10 cm. (3 or 4 inches) from the summit of the loop; a small catheter is thenintroduced in a purse-string at the summit and passed into the distal armbeyond the anastomosis; and the fistula with the tube is then sewed to theskin (Fig. 1373). If a still shorter operation is indicated the tube may beintroduced and the bowel sewed to the peritoneum, without an anastomosis 698 SURGICAL TREATMENT being made.
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . short-circuited a loop of jejunum by entero-anastomosis ( to10 cm. (3 or 4 inches) from the summit of the loop; a small catheter is thenintroduced in a purse-string at the summit and passed into the distal armbeyond the anastomosis; and the fistula with the tube is then sewed to theskin (Fig. 1373). If a still shorter operation is indicated the tube may beintroduced and the bowel sewed to the peritoneum, without an anastomosis 698 SURGICAL TREATMENT being made. Maydyl cut the bowel completely across, and implanted theproximal end into the side of the bowel below the distal end. The latter isthen sewed to the skin (Fig. 1374). These operations are done through the rectus muscle, just above the levelof the umbilicus, on the left side. The catheter is No. 12 F. Fine linensuture may be used. The opening is made 30 or 45 cm. (12 or 18 inches)from the duodenum. The catheter must be kept in or the opening will it comes out it must be replaced. Liquid feeding may be begun at
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
