. A new manual of surgery, civil and military. Enterostomy with McGraw Elastic Ligature. Showing posterior Lembert suture, elastic ligature in place with first loop ready to tie.(From Dr. H. O. Walkers original drawings of Dr. Theodor McGraws operation.) 1. A round rubber cord 2 mm. in diameter, made of the best materialshould be used. 2. A posterior row of Lembert sutures is applied. 3. A long, straight needle armed with the rubber ligature is passed intothe lumen of the intestine and out again at the desired distance, from 5 to 10cm. away from the point of introduction. SUKGERY OF THE ESOPHA
. A new manual of surgery, civil and military. Enterostomy with McGraw Elastic Ligature. Showing posterior Lembert suture, elastic ligature in place with first loop ready to tie.(From Dr. H. O. Walkers original drawings of Dr. Theodor McGraws operation.) 1. A round rubber cord 2 mm. in diameter, made of the best materialshould be used. 2. A posterior row of Lembert sutures is applied. 3. A long, straight needle armed with the rubber ligature is passed intothe lumen of the intestine and out again at the desired distance, from 5 to 10cm. away from the point of introduction. SUKGERY OF THE ESOPHAGUS AND STOMACH 479 4. While an assistant holds the intestine the surgeon stretches the rubberin the needle and ^vhen quite thin draws it rapidly through the intestine. 5. The same step is repeated through the stomach. 6. A strong silk ligature is placed across and underneath the rubber liga-. EXTEROSTOMT WITH McGRAW ELASTIC LIGATURE. The primary Lembert suture in place. The elastic ligature has been tied but the endshave not; yet been cut short. The silk ligature securing the tied ends of the elastic ligaturehas been tied but the ends have not been cut short. (From Dr. H. 0. Walkers original drawings of Dr. Theodor McGraws operation.) ture between the latter and the point where the stomach and intestine cometogether. 7. A single tie is made in the rubber ligature after the latter has beendrawn very tightly. 480 SUEGERY OF THE ESOPHAGUS AND STOMACH 8. The silk ligature is passed around the euds of the rubber ligature wherethey cross, and tied securely three times. 9. The ends of the latter are released and cut off, being held by the silkligature. 10. The Lembert suture is continued around in front until the point of itsbeginning is reached, where it will be tied. 11. Care must be exercised to prevent tying the rubber ligature too farbackward and thus getting behind the post
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
