Operative surgery . )ails, espettially the line of suture; remove the pro-tecting gauze, replace the oi-gans, and close the abdominal wound. The union can be accomplished more quickly by MaiinseHs method(Fig. 808), or by the absorbable tube, or the Murphy button. Both duode-nal and gastric openings can be closed and the union made at the posteriorsurface either by, 1, direct sewing ; 2, Murphys button ; 3, absorbable plates,tubes and bobbins. If the space between the viscera be too great for theirproper apposition, the jejunum can be joined with the stomach in themanner already described (gast
Operative surgery . )ails, espettially the line of suture; remove the pro-tecting gauze, replace the oi-gans, and close the abdominal wound. The union can be accomplished more quickly by MaiinseHs method(Fig. 808), or by the absorbable tube, or the Murphy button. Both duode-nal and gastric openings can be closed and the union made at the posteriorsurface either by, 1, direct sewing ; 2, Murphys button ; 3, absorbable plates,tubes and bobbins. If the space between the viscera be too great for theirproper apposition, the jejunum can be joined with the stomach in themanner already described (gastro-euterostomy). The method of i)rocedureemployed should be selected with due regard for the beneficent influence of. Fig. 994.—The operation of pylorectdiny aiul irii^tro-entero^toiiiy, Kochers method, serous suture closing the stomach, b. Post-serous suture betweenstomacli and duodenum, c. Duodenum, d. Assistant closing stomach and duo-denum by pressure, e. Opening in posterior wall of stomach. promptness of execution and of experience on the immediate and futureoutcome of the case. The Precautions.—Digital, instrumental, sponge and textile fabric tem-porary closure of the openings of the divided viscera are each advised andpracticed with care, to prevent peritoneal infection. The retention of asponge or of gauze in the stomach after final closure of the wound shouldbe avoided (page 769). The underlying vessels must be carefully guarded 770 OPERATIVE SURGERY. during seisaration of tlie tumor, and the connecting tissues separated andtied singly or doubly as suits the circumstances of the case. The transversemesocolon should be respected, as injury of it may result in impaired circ
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
