Annals of surgery . le, the danger of this valuable palliative measure, Postnikowhas performed a series of experiments upon dogs, with the view ofproposing certain modifications in the carrying out of the operation. 1 Centralblatt fur Chimrgie. No. 49, 1892. 2 Centralblatt fur Chirurgie. No. 45, l88l 476 EDITOR!. II. AR TICLES. It is not necessary to give here the technique of the operation, whichlias been employed for a long time in such investigations, as publishedby The modification of Postnikow is quite as applicable to themethod of Wolfer as to the methods of Courvoisier and Ha
Annals of surgery . le, the danger of this valuable palliative measure, Postnikowhas performed a series of experiments upon dogs, with the view ofproposing certain modifications in the carrying out of the operation. 1 Centralblatt fur Chimrgie. No. 49, 1892. 2 Centralblatt fur Chirurgie. No. 45, l88l 476 EDITOR!. II. AR TICLES. It is not necessary to give here the technique of the operation, whichlias been employed for a long time in such investigations, as publishedby The modification of Postnikow is quite as applicable to themethod of Wolfer as to the methods of Courvoisier and Hacker. Itconsists in that the incision is not carried through the entire thick-dess of the stomach and intestinal walls. The steps of the operationare as follows: (i) Abdominal section; (2) drawing out the loop ofintestine and suturing it, serosa to serosa, to the stomach ; (3) cuttingout of the stomach wall a small oval as far down as the muscularis,and the same on the intestine; (4) uniting by sutures the posterior. Fig. I.—Showing Denuded Mucosa of Stomach and of Intestine Strangulated byPurse-String Ligature, while Serous Surfaces are Attached by Sutures. borders of the two wounds ; (5) placing a silk ligature around themucous membrane of the stomach, which presents through the ovalopening, and another around the mucous membrane of the intestinefree from serosa; (6) uniting by sutures the anterior borders of thetwo wounds : (7) a second row of serosa-serosa sutures near the last;(8) closure of the belly wound. The above modification (lifters from the typical gastroenterostomyonly in the fifth step. In this the mucous membranes of the stomachand intestine are not incised, bul are ligated by a strong silk thread,whi( h causes necrosis of the ligated portion, which tails away on thethird or fourth day. Then is first established the communication 1 Deutsche Zeitschrift fur Chirurgie, Bd. \\v. POSTNIKOW ON GASTROENTEROSTOMY. 477 between the stomach and gut, which constitutes th
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
