Operative surgery . cystotomy (page 112C). p. Incisionin Bassinis operation for radical cure of hernia (page 915 et seq.). q. Langenbecksincision in subpubic entrance to bladder (page 1122). r. Gall OlKUAllOXS OX VISCKRA COXNECTEl) Willi 755 luin<]i;s from the givater curviiture of the storuiutli and tho lower surface ofthe transverse colon, coverinc: over the latter, llw omentum may be hollow,the cavity communicating witii tlie lesser sac al)ove tiie colon; more oftenits layers are adhcriMit to eacli other. It varies in density: is sometimesthick, again extrenuly t
Operative surgery . cystotomy (page 112C). p. Incisionin Bassinis operation for radical cure of hernia (page 915 et seq.). q. Langenbecksincision in subpubic entrance to bladder (page 1122). r. Gall OlKUAllOXS OX VISCKRA COXNECTEl) Willi 755 luin<]i;s from the givater curviiture of the storuiutli and tho lower surface ofthe transverse colon, coverinc: over the latter, llw omentum may be hollow,the cavity communicating witii tlie lesser sac al)ove tiie colon; more oftenits layers are adhcriMit to eacli other. It varies in density: is sometimesthick, again extrenuly tliiii, even diaphanous. It may be smooth, rough-ened, often crumpled, and either free or adherent 10 the intestines can be carried upward over the colon aiul stomach or to one side, moreeasily to the left. These simple facts exercise an important bearing on tiiemanipulation of the structures. The jejunum must not be confounded withthe ileum. The former is of a brighter color, denser and smoother in struc-. FiG. 964.—The operation of gastro-eiiterostomy. a. Ligament of Trietz. b. Opening into jejunum. ture, and of a greater capacity than the latter; its walls also are thicker, andthe root of its mesentery is higher. The jejunum is readily seized bypassingthe thumb and finger along the under border of the transverse mesocolon toits root and grasping the first intestinal loop that is felt immediately this intestine be pulled toward the wound in a limited degree, the move-ment is arrested by the intestines connection with the immovable part of theduodenum. If pulled so as to make traction on the opposite extremity of theloop, arrest does not happen because of its continuity with the remainder of54 756 OPERATIVE SURGERY. the movable small intestine. Although not anatomical, it is needful to notethat the flow of digestive matter in the stomach is principally along thegreater curvature, from the cardiac toward the pyloric extremity, and thatthe reverse is the cou
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