. Operative surgery, for students and practitioners . th Murphy button. This method of gastrojejunostomy is said to be free from thedanger of the so-called vicious circle and is in much favor withmany surgeons at the present time. Posterior Gastrojejunostomy, Y Method of Eoux.—Theo-retically this procedure has some advantages over the ordinary method,but as a matter of fact considerably more time is required for its ex-ecution, especially at the hands of surgeons less familiar with thetechnique of intestinal operations. Time is a consideration of seri-ous moment, particularly in subjects feebl
. Operative surgery, for students and practitioners . th Murphy button. This method of gastrojejunostomy is said to be free from thedanger of the so-called vicious circle and is in much favor withmany surgeons at the present time. Posterior Gastrojejunostomy, Y Method of Eoux.—Theo-retically this procedure has some advantages over the ordinary method,but as a matter of fact considerably more time is required for its ex-ecution, especially at the hands of surgeons less familiar with thetechnique of intestinal operations. Time is a consideration of seri-ous moment, particularly in subjects feeble and exhausted from pro-longed inanition. A coil of gut about 20 cm. distant from the commencement ofthe jejunum is selected. The contents are stripped along with thefingers and a gauze strip tied around the gut. Two straight compres-sion forceps are then applied to the gut close together and the intestinedivided between them with the scissors, the cut reaching into the mesen-tery as far as the first important vascular arch. The posterior wall of. Fig. 150.—Posterior Gastrojejunostomy (Czerjiy). Upper part of jejunumanastomosed to posterior wall of stomach with Murphy button. C, colon;, great omentum; J., jejunum; P., pancreas; 8., symphysis pubis. OPERATIONS UPON THE SMALL INTESTINE. 327 the stomach is then exposed by tearing through the transverse meso-colon, the edges of the opening in the transverse mesocolon being fixedto the wall of the stomach with several non-penetrating silk distal, lower, end of the divided gut is then lifted up and sewedinto an opening made for the purpose in the posterior wall of the
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