Operative surgery, for students and practitioners . he posterior wall of the stomaeh by a row of continuous Lembert has been made in the stomach to receive the end of the duodenum. chromic catgut suture the edge of the duodenum is united to the edgeof the incision on the stomach all around. This suture includes allthe coats, especial care to include the edges of the mucous the end of the duodenum has thus been sutured to the openingin the stomach all around the needle, carrying the silk thread withwhich the posterior half of the non-penetrating suture that joins
Operative surgery, for students and practitioners . he posterior wall of the stomaeh by a row of continuous Lembert has been made in the stomach to receive the end of the duodenum. chromic catgut suture the edge of the duodenum is united to the edgeof the incision on the stomach all around. This suture includes allthe coats, especial care to include the edges of the mucous the end of the duodenum has thus been sutured to the openingin the stomach all around the needle, carrying the silk thread withwhich the posterior half of the non-penetrating suture that joins theduodenum to the stomach was introduced, is again taken in hand and OPERATIONS UPON THE STOMACH. 393 the anastomosis completed by introducing the anterior half of theoutside, non-penetrating ring suture. Hartmanns Method of Gasteectomy.—The partial gastrec-tomy, according to the method of Hartmann, is performed forcancer of the pyloric portion of the stomach, and is based upon thenormal arrangement of the lymphatics of the stomach. It consists. Fig. ISl.—Doyen Holding Forceps. of resection of the pylorus and part of the body of the stomachand the adjacent lymphatic nodes. The pylorns is drained chieflyby the lymphatics that terminate in the nodes situated along thelesser curvature—along the course of the gastric artery—^betweenthe folds of the gastro-hepatic omentum, and for this reason canceroriginating in the pylorus, the usual site of the disease, spreads
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
