. Operative surgery. syyM^. Fig. 851.—Delivery of stomach and introduction of forceps. the oesophageal opening, because of its obliteration due to contraction of thewalls of the stomach, provoked no doubt by the presence of the , if the finger be pressed cautiously for a time at the site of theopening relaxation will take place and the end of the finger will readilyenter the tube. Downward traction on the stomach attended with flexionof the cervical and dorsal portions of the spine render the cardiac openingmore accessible to manipulation. The putting of the lesser curvature onth


. Operative surgery. syyM^. Fig. 851.—Delivery of stomach and introduction of forceps. the oesophageal opening, because of its obliteration due to contraction of thewalls of the stomach, provoked no doubt by the presence of the , if the finger be pressed cautiously for a time at the site of theopening relaxation will take place and the end of the finger will readilyenter the tube. Downward traction on the stomach attended with flexionof the cervical and dorsal portions of the spine render the cardiac openingmore accessible to manipulation. The putting of the lesser curvature onthe stretch by downward traction on the stomach enables one to readily passa bougie along the curvature into the cardiac opening, especially if the gastricincision be located well to the right. Stricture of the (Esophagus.—For the purpose of consideration, stric-ture of the oesophagus will be classified as malignant and non-malignant, andalthough either may be treated by dilatation, divulsion, external or internaldivision


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900