Operative surgery, for students and practitioners . oduced and applied across the body of the stomach,the tip of the forceps reaching up beyond the lesser curvatureclose to the point where the ligature was applied to the gastricartery. A second similar holding forceps with bare blades is appliedacross the stomach to the pyloric side of this first forceps and alsoreaching from the greater to the lesser curvature. These twoforceps are applied very tightly. The left gastro-epiploic artery isligated close to the holding forceps. This vessel is found run-ning from left to right close to the lower b
Operative surgery, for students and practitioners . oduced and applied across the body of the stomach,the tip of the forceps reaching up beyond the lesser curvatureclose to the point where the ligature was applied to the gastricartery. A second similar holding forceps with bare blades is appliedacross the stomach to the pyloric side of this first forceps and alsoreaching from the greater to the lesser curvature. These twoforceps are applied very tightly. The left gastro-epiploic artery isligated close to the holding forceps. This vessel is found run-ning from left to right close to the lower border of the stomach is divided between the two holding forceps and thendetached along its greater curvature, working toward the right asfar as the pylorus. The gastro-colic ligament is ligated in sections,?each section being tied double and the ligatures applied sufficientlyfar away from the border of the stomach so as to get well beyondany diseased Ij^mphatic nodes that may be present. If there are OPERATIONS UPOX THE STOiL\CH. 395. Fig. 183.—Gastrectomy (Hartmami). Gastric artery has been tied and thegastrohepatic ligament divided. The stomach has been divided and the portionwhich is to be resected with the clamp still applied is turned over toward theright side in order to facilitate the ligation of the gastro-duodenal artery. Aportion of the peritoneum has been removed from the anterior surface of the headof the pancreas in order to expose this vessel, which has been picked up withthe blunt ligature carrier. 396 . ABDOMEN AND BACK. adhesions to the transverse mesocolon the operator must be carefulnot to injure the arteria colica media nor to include it in a ligature,because this vessel supplies the transverse colon, and its occlusionwould result in gangreiie of this part of the bowel. The stomachhaving been thus divided and separated above, along the lessercurvature from the gastro-hepatic ligament and below, along thegreater curvature from the gastro-colic l
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