Operative surgery . ancerous the former the upper end of thelower portion of the tube is raisedforward and united to the wound,thereby forming an openingthrough which food may be in-troduced by means of a tube. Thelatter method is noted under theproper heading (page 1046 et seq.).The Results.—Only five or sixcases have as yet been reported. Intwo of these life was prolonged formonths; the remainder died soonThere is rea-son to believe that life can be pro-longed for a greater length of timeby feeding through a tube in the usual manner than by this procedure. OEsophagOstomy.—OEsophago
Operative surgery . ancerous the former the upper end of thelower portion of the tube is raisedforward and united to the wound,thereby forming an openingthrough which food may be in-troduced by means of a tube. Thelatter method is noted under theproper heading (page 1046 et seq.).The Results.—Only five or sixcases have as yet been reported. Intwo of these life was prolonged formonths; the remainder died soonThere is rea-son to believe that life can be pro-longed for a greater length of timeby feeding through a tube in the usual manner than by this procedure. OEsophagOstomy.—OEsophagostomy is employed to establish a fistulousopening with the oesophagus, below the point of an incurable, impassableconstriction. It provides for the introduction of food into the stomach, andserves as a temporary palliative measure. While its adoption obviates fox atime at least the performance of gastrostomy, still, there is no good reasonto believe that it can be regarded in any instance as the wiser Fig. .Tube conductor, h. Gum-elastic after the operationSmall flexible bougie, d. Bulbous OIKhATlOXS ox Vise/?:/,A CO\XlUTIJI) WITH //:/.? 17OXyErM. It is etnimutly wise before considering the surgical tretitnient of woundsand diseases of the abdominal viscera, that a brief statement be made of tiieproper metliod of approach to the abdominal cavity itself. Abdominal Section, or Coeliotomy.—Abdominal section is the openingof the abdominal cavity for the puipose of considering any of the variousstructures or pathological changes that may be present within. The situa-tion of the incision will depend on the object in view and the importanceof the tissues involved, the length will depend on the thickness of the wall,the desired freedom of manipulation, the character of the tissues, and theseat of the division. The Anatomical Points.—The bony landmarks that skirt the abdominalwall are each important, and their individual significance should be well
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