Operative surgery . Fig. 957. Fi(i. 9o8. Fig. 957.—Kadors method of gastrostomy. Tube in place and fixed by suture (a).b, b, b, b. Infolding sutures, c, c. Primary transverse folds of stomach, d. Inter-val between folds. Fig. 958.—Kaders method of gastrostomy. Sutures tieil, ends of two (a, a) left long forbetter control, supplemental sutures placed at either end of infold. T/ie Ope rati 0)1.—Make tlie oblique or vertical abdominal incision, as suitsthe fancy of the operator or requirements of the case; se])arate the fibers ofthe rectus by blunt dissection, and divide the posterior wall of its


Operative surgery . Fig. 957. Fi(i. 9o8. Fig. 957.—Kadors method of gastrostomy. Tube in place and fixed by suture (a).b, b, b, b. Infolding sutures, c, c. Primary transverse folds of stomach, d. Inter-val between folds. Fig. 958.—Kaders method of gastrostomy. Sutures tieil, ends of two (a, a) left long forbetter control, supplemental sutures placed at either end of infold. T/ie Ope rati 0)1.—Make tlie oblique or vertical abdominal incision, as suitsthe fancy of the operator or requirements of the case; se])arate the fibers ofthe rectus by blunt dissection, and divide the posterior wall of its sheath verti-cally in either instance; draw through the opening a fold of the stomach inthe usual way, if its size and mobility will permit; pack the field with gauze ;make a small incision into the stomach with a narrow bistoury; introducethrough it into the stomach, for two inches, the end of a rubber tube the sizeof a pencil (Fig. 957); arrest bleeding,and fasten the tube to the stomach (|fc).


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