Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1397.—Gastrostomy, Method of Senn. Showing sutures inserted and catheter introduced. The stomach here indicated has the shape disclosed by x-ray Fig. 1398.—Gastrostomy, Method of purse-string sutures tied. THE ABDOMEN 733 and the stomach brought forward into the wound. The point to be openedshould be about midway between the lesser curvatures at the cardiac end ofthe stomach. A purse-string suture is applied with a diameter of abou
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1397.—Gastrostomy, Method of Senn. Showing sutures inserted and catheter introduced. The stomach here indicated has the shape disclosed by x-ray Fig. 1398.—Gastrostomy, Method of purse-string sutures tied. THE ABDOMEN 733 and the stomach brought forward into the wound. The point to be openedshould be about midway between the lesser curvatures at the cardiac end ofthe stomach. A purse-string suture is applied with a diameter of about2 cm. (% inch). The ends of the suture are left long for tying. Outside ofthis a second, third and a fourth purse-string suture are placed. Thesesutures should be about 6 mm. {}/i inch) apart. The diameter of the outercircle is about cm. (2)^ inches). If haste is necessary three purse-stringsabout 1 cm. (f& inch) apart may be placed. The circle should not be anysmaller than this. Having placed these seromuscular sutures, an opening ismade in the center of the circle, and a No. 14 or 16 French catheter opening should be made with a narrow sharp knife and should be smallenough to make the tube fit snugly (Fig. 1397). The tube should be passedinto the stomach about
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
