Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . , I /j f Ill ^^,^. / y^fiy] \ A. ) h Fig. 101.—The greater omentum sutured with intermpted silk stitchesto the stomach and lesser omentum. Dotted lines indicate cut end ofstomach and the anastomosis. stomach and the entire surface left bare hy the removal ofthe pyloric end of the stomach is covered by uniting thegreater and lesser omenta, or by carr^dng the stump of theduodenum up to the stump of the stomach and unitingthese by means of fine silk sutures. At all events, everyportion of the raw su
Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . , I /j f Ill ^^,^. / y^fiy] \ A. ) h Fig. 101.—The greater omentum sutured with intermpted silk stitchesto the stomach and lesser omentum. Dotted lines indicate cut end ofstomach and the anastomosis. stomach and the entire surface left bare hy the removal ofthe pyloric end of the stomach is covered by uniting thegreater and lesser omenta, or by carr^dng the stump of theduodenum up to the stump of the stomach and unitingthese by means of fine silk sutures. At all events, everyportion of the raw surface must be carefully covered withperitoneum. 454 CANCER OF THE STOMACH In some cases the amount of available tissue for closingthe duodenum is not so plentiful as might be desired toobtain a closure in whose permanency one can havecomplete confidence. In such cases it is best to providefor the possible occurrence of a leakage some days afterthe operation. By carrying one or two cigarette drains downto the closed end of the duodenum, passing these out of theupper end from the abdominal wound one can provide
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Keywords: ., bookcentury1900, bookdecade1910, bookpublisherphiladelphialondon
