Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . large ulcer at the pylorus pyloroplasty,gastroduodenostomy or gastrojejunostomy should be done. Partial gastrectomy consists in resection of some portion of the stomachwall. It is applied usually for malignant disease, ulcer or stricture. Thetechnic is essentiallv the same as that described above for resection of the 760 SURGICAL TREATMEXT pyloric end of the stomach. Operating for malignant disease, the stomachis exposed by a median incision as for pylorectomy, an
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . large ulcer at the pylorus pyloroplasty,gastroduodenostomy or gastrojejunostomy should be done. Partial gastrectomy consists in resection of some portion of the stomachwall. It is applied usually for malignant disease, ulcer or stricture. Thetechnic is essentiallv the same as that described above for resection of the 760 SURGICAL TREATMEXT pyloric end of the stomach. Operating for malignant disease, the stomachis exposed by a median incision as for pylorectomy, and examined. It iswithdrawn from the abdomen, and the lines of resection determined. Thevessels of the greater and lesser omentum running to the part of the stomachto be resected are doubly ligated. The omentum is divided between theseligatures. This frees the stomach along its lesser and greater the ends of the openings in the omenta the vessels of the stomach aredoubly ligated and cut—these are the gastric artery at the lesser curvatureand the epiploic vessels along the greater curvature. Two straight stomach. Fig. 1433.—Partial diseased segment has been removed and the cut ends approximated. The firsthalf of the seromuscular suture has been applied. The through-and-through suture hasbeen begun. Showing method of reducing size of the opening in the cardiac segment. clamps, about cm. (1 inch) apart, are then placed on either side of thediseased part (Fig. 1432). Gauze pads are passed behind the stomach, and the diseased segmentis cut away close to the two middle clamps. For this purpose scissors or thecautery knife may be used. Care should be taken not to soil the field ofoperation. The cut edges should be wiped clean. Having removed theresected portion, the free edges of the stomach are then brought togetherand placed in position for suturing. The cardiac end is usually larger thanthe pyloric end, and should be equalized by partially sutur
Size: 1682px × 1485px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
