. Operative surgery. Fig. 849.—(Esophagotomy, OPERATIONS ON THE CESOPHAGUS. 069 taken to avoid tlie recurrent laryngeal nerve. The site of the obstructionis located by the probe and the obstruction is removed with suitable for-ceps, aided by manipulation from without, and facilitated by lengthening theoesophageal incision if necessary. The opening in the OBSophagus may beclosed with two rows of fine catgut sutures, the innerbeing applied to the mucous membrane only, if theborders of the incision have not been injured by manipu-lation or impaired by the lodgment of the foreig
. Operative surgery. Fig. 849.—(Esophagotomy, OPERATIONS ON THE CESOPHAGUS. 069 taken to avoid tlie recurrent laryngeal nerve. The site of the obstructionis located by the probe and the obstruction is removed with suitable for-ceps, aided by manipulation from without, and facilitated by lengthening theoesophageal incision if necessary. The opening in the OBSophagus may beclosed with two rows of fine catgut sutures, the innerbeing applied to the mucous membrane only, if theborders of the incision have not been injured by manipu-lation or impaired by the lodgment of the foreignbody; if, however, either of these conditions be pres-ent, closure should not be attempted. In no instanceis it wise to close entirely the external incision, althoughit may be narrowed by suturing the upper gauze is packed lightly in and over thewound, and confined in place loosely with a gauzebandage. The aim must be to keep the wound clean and prevent extravasation through and inflammation of 850.—(Esophagot- - . ^ omy, final incision
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