Operative surgery . (U OPERATIVE SURGERY, with the vstomach (b) (Fig. 981). The employment of the ^Murphy buttonin this instance would no doubt greatly facilitate the operation. T/ie Precautions.—As complete isolation as is possible of the operationfield by aseptic packing and use of rubber dam should be practiced in gastro- Tifflirwrntiinrn-.,. Fig. 981.—The operation of posterior gastro-enterostoiny, Rouxs method, a. Proximalend of jejunum, h. Union of proximal and distal ends of jejunum, c. Distal endof jejunum joined to pyloric portion of stomach. enterostomy to prevent peritoneal infectio
Operative surgery . (U OPERATIVE SURGERY, with the vstomach (b) (Fig. 981). The employment of the ^Murphy buttonin this instance would no doubt greatly facilitate the operation. T/ie Precautions.—As complete isolation as is possible of the operationfield by aseptic packing and use of rubber dam should be practiced in gastro- Tifflirwrntiinrn-.,. Fig. 981.—The operation of posterior gastro-enterostoiny, Rouxs method, a. Proximalend of jejunum, h. Union of proximal and distal ends of jejunum, c. Distal endof jejunum joined to pyloric portion of stomach. enterostomy to prevent peritoneal infection. The occurrence of this mis-fortune calls for patient and thorough cleansing, and perhaps for the establish-ment of effective drainage. The line of each form of union should be carefullyinspected, and points of doubtful coaptation should be fortified by additionalstitches before the return of the viscera, as post-operative leakage will bepromptly fatal. The exclusion of the contents of the organs from the seat ofproposed union must be rigorously practiced by every practical method (page659), for obvious reasons. The development of a post-operative peritonitisindicating infection calls for prompt exposure of the parts, to repair defectsand remove deleterious agents. The tendency to kinking of the gut by oper-ative confinement or const
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