. Modern surgery, general and operative. Fig. 758.—Fowlers method of gastro-enterostomy. Fig. —Moynihans damp forgastric and intestinal operations(made by Down Brothers, London). middle colic artery, pick up a bit of the under surface of the mesocolonby a pair of hemostatic forceps, lift it from the posterior stomachwall, and open the lesser sac of peritoneum by the scissors. Enlarge theopening by dilatation or tearing until it admits three fingers. Inspect andfeel the posterior stomach wall. Place the stomach in its natural position,mark with the thumb the lowest part of the posterior st


. Modern surgery, general and operative. Fig. 758.—Fowlers method of gastro-enterostomy. Fig. —Moynihans damp forgastric and intestinal operations(made by Down Brothers, London). middle colic artery, pick up a bit of the under surface of the mesocolonby a pair of hemostatic forceps, lift it from the posterior stomachwall, and open the lesser sac of peritoneum by the scissors. Enlarge theopening by dilatation or tearing until it admits three fingers. Inspect andfeel the posterior stomach wall. Place the stomach in its natural position,mark with the thumb the lowest part of the posterior stomach wall, and againturn the viscus over. From the spot marked by the thumb a fold is fold is oblique and its upper end is to approach the cardia and lesser curva-ture. A stomach clamp (Fig. 759) having a rubber tube stretched over each bladeis appHed obhquely so as to grasp the base of this fold. In applying the clamp 1238 Diseases and Injuries of the Abdomen. Fig. 760.—Moynihans method of gastro-enterostomy: The oblique application of the clampto the stomach (Moynihan). :^A^


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