Modern surgery, general and operative . and both he andJaboulay performed it in the same year. The operation has saved lives. In ashort-loop operation we should assmne that the jejunum has been twisted, shouldopen the abdomen, and endeavor to correct the condition. Herbert L. Pater-son (Hunterian Lectures, before the Royal College of Surgeons of England,Feb. 19, 21, 22, 1906) points out that sUght cases of regurgitant vomiting notimmediately following an operation may be due purely to constipation, andmay be recovered from if care is taken to secure daily a free bowel Patersons opi
Modern surgery, general and operative . and both he andJaboulay performed it in the same year. The operation has saved lives. In ashort-loop operation we should assmne that the jejunum has been twisted, shouldopen the abdomen, and endeavor to correct the condition. Herbert L. Pater-son (Hunterian Lectures, before the Royal College of Surgeons of England,Feb. 19, 21, 22, 1906) points out that sUght cases of regurgitant vomiting notimmediately following an operation may be due purely to constipation, andmay be recovered from if care is taken to secure daily a free bowel Patersons opinion constipation causes reversed peristalsis, and as boththe duodenal siphon-trap and the pyloric sphincter are put out of service,regurgitation takes place from the efferent loop into the stomach. Anterior Gastro-enterostomy.— Sennas Method.—A medianincision is made through theabdominal wall, from below thexiphoid cartilage to the umbili-cus. An opening is made in thelower part of the anterior wallof the stomach in the direction. Fig. 667.—^lajos method of anterior gastro-enter-ostonL}, showing proper and improper locations of open-ings: a, Proper position, lea\ing no pouch; b, usual posi-tion, forming intragastric pouch (Annals of Surgery). Fig. 668.—Kochers method of gastro-enterostomy: a. Places of posterior annularsuture through entire wall of stomach andintestine; b, places of anterior annular suturethrough the entire wall; c, valve at the jeju-num bj arch-formed incision; d, posteriorannular suture of the serosa; e, thread endsfor continuing anterior suture of the serosa. of the long axis of the viscus, and its edges are stitched by a continuouscatgut suture. The contents of the jejimimai are forced along to belowthe point where an incision is to be made. The duodenal loop of jejunumshould be from 12 to 14 inches in length. A rubber tube is fastened aroundthe bowel above this point, and another below it; an incision is made inthe long axis of the bowel, and the
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
