. Operative surgery, for students and practitioners . Fig. 96.—Gastroplication. Lower border o£ the stomach is turned up andstitched near the lesser curvature with a single row of sutures (4), methodof Bircher; with four rows of sutures (1, 2, 3, 4), method of Weir. According to Bircher, the anterior wall of the stomach is foldedupon itself so that the greater curvature may be brought up closeto the lesser curvature and fixed in this position with a row of inter-rupted silk sutures; these should take a good, broad bite in the wallof the stomach, including its serous and muscular coats. Care sh
. Operative surgery, for students and practitioners . Fig. 96.—Gastroplication. Lower border o£ the stomach is turned up andstitched near the lesser curvature with a single row of sutures (4), methodof Bircher; with four rows of sutures (1, 2, 3, 4), method of Weir. According to Bircher, the anterior wall of the stomach is foldedupon itself so that the greater curvature may be brought up closeto the lesser curvature and fixed in this position with a row of inter-rupted silk sutures; these should take a good, broad bite in the wallof the stomach, including its serous and muscular coats. Care shouldbe exercised that the sutures do not penetrate through the entirethickness of the wall of the stomach. Twelve to fourteen sutures areusually required. OPERATIONS UPON THE STOMACH. 245 According to Weir, the fixation may be made with three or fourseparate tiers of sutures, one superimposed upon the other. Afterthe stomach has been brought out through the abdominal incision,its anterior wall, corresponding to the long diameter of the organ,. Fig. 97.—Cross Section of the Stomach After Gastroplicationaccording to the Method of Bircher. is inverted, and the edges of the furrow thus made in the wall ofthe stomach united with a row of continuous or interrupted silksutures. A second row of sutures is then introduced parallel withand about one inch distant from the first. A third and finally a
Size: 1270px × 1968px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidoperativesur, bookyear1906
