Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1343.—Lateral Anastomosis with Oblong oblong button is used as the largest round button is inadequate for most lateral unions. It requires an opening in the bowel somewhere near the two sites ofjunction. This opening may be made for the purpose of introducing thebutton or it may be a part of another operation. Thus, in gastroenterostomy,when it is desired to join the two arms of the loop of jejunum, the operationis proceeded with as follows: after
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1343.—Lateral Anastomosis with Oblong oblong button is used as the largest round button is inadequate for most lateral unions. It requires an opening in the bowel somewhere near the two sites ofjunction. This opening may be made for the purpose of introducing thebutton or it may be a part of another operation. Thus, in gastroenterostomy,when it is desired to join the two arms of the loop of jejunum, the operationis proceeded with as follows: after opening the jejunum for the stomach anasto-mosis and completing half of the suture, the male half of the button is intro-duced into the proximal arm of the loop, and the female half into the distalarm. This may be done with forceps or they may simply be dropped in 672 SURGICAL TREATMENT loosely and manipulated into place. The cylinder of the button is thenpressed tightly against the antimesenteric wall of the bowel. Through thedrumhead thus formed, two small crossing incisions are made, and the cyl-. Fig. 1344.—Entero-enterostomy with Button from within the Bowel. The first half of a gastroenterostomy has been done, the halves of the button are passedrespectively into each loop of intestine, one is held with a clamp, the other is controlledfrom the outside by the fingers. The intestine is cut to allow the passage of the stemof the button. inder of the button pressed through. This is done on either side, the buttonsbeing carefully steadied, and then the two halves are pressed together. Nosuture is required (Fig. 1344). THE ABDOMEN 673 R. Finochietto (Surg., Gyn. and Obst., 1915) devised a simplemethod for bloodless aseptic introduction of the button. The viscus isemptied and the zone of operation occluded. The bowel or stomach wallis grasped at the place where the opening is to be made with hemostaticclamps having a long and broad contact surface on each jaw. The clampis app
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
