Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 99.—-Showing the anterior Connell catgut stitcli. stomach and the intestine. The line of sutures is begun atthe point at which the silk suture was ended and carried tothe point at which the silk suture was begun. The mucous membrane is then cut, care being taken tofirst place moist gauze bands around the tissues so as toprevent soihng of the peritoneal cavity. Any substancewhich may come from the cavity of the intestine and thestomach is carefully sponged away and then the catgutsuture is co
Cancer of the stomach; a clinical study of 921 operatively and pathologically demonstrated cases . Fig. 99.—-Showing the anterior Connell catgut stitcli. stomach and the intestine. The line of sutures is begun atthe point at which the silk suture was ended and carried tothe point at which the silk suture was begun. The mucous membrane is then cut, care being taken tofirst place moist gauze bands around the tissues so as toprevent soihng of the peritoneal cavity. Any substancewhich may come from the cavity of the intestine and thestomach is carefully sponged away and then the catgutsuture is continued around the remaining portion of the 452 CANCER OF THE STOMACH opening. The Connell suture is employed for this is appUed in the following manner. The suture ispassed through the layers of the stomach wall from withinoutward, then carried over to the wall of the intestine,passed through all the layers from without inward, thenfrom within outward and then it is carried across to thestomach again. These steps are repeated until the entire. Fig. 100.—Showing method of closure of end of the stomach by a Connellline of catgut sutures which is then covered with a row of Lembert silk sutures. opening is closed, care being taken to remain within 2 the edge of the wound. As these sutures pass throughall of the layers, there can be no hemorrhage from theedges of the incision. The catgut suture is then tied to theend which was left long at the beginning. It is well to oilthe catgut suture with vaseline so as to have it perfectlysmooth in order that it may not tear the tissues as it passesthrough them. SUEGICAL TREATMENT OF CANCER OF THE STOMACH 453 The original silk suture is now taken up again and iscarried on in the form of a Lembert suture around theanterior surface of the anastomosis to the point of itsbeginning where it is tied to the end which was left at thebeginning of this suture. The edges of the opening in thetransverse mesocolon are now sutmed to
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Keywords: ., bookcentury1900, bookdecade1910, bookpublisherphiladelphialondon
