. Modern surgery, general and operative. en the two pouches. He makes an anastomosis opening throughthe double septum, sutures the edges, and closes the wound in the anterior wallof the anterior stomach. Wolfler made a vertical cut in each pouch and unitedthese openings to make an anastomosis. The best plan is to apply clamps on eachside of the isthmus and operate as we would for gastro-enterostomy (Fig. 770).Qastroplication (Brandts Operation of Stomach-reefing for DilatedStomach).—Apply sutures in the anterior wall so as to form reefs, then tearthrough the great omentum and apply sutures in
. Modern surgery, general and operative. en the two pouches. He makes an anastomosis opening throughthe double septum, sutures the edges, and closes the wound in the anterior wallof the anterior stomach. Wolfler made a vertical cut in each pouch and unitedthese openings to make an anastomosis. The best plan is to apply clamps on eachside of the isthmus and operate as we would for gastro-enterostomy (Fig. 770).Qastroplication (Brandts Operation of Stomach-reefing for DilatedStomach).—Apply sutures in the anterior wall so as to form reefs, then tearthrough the great omentum and apply sutures in the posterior wall. Thesutures pass through the serous and muscular coats. A continuous suture maybe used on the anterior wall and another on the posterior wall, or numerousinterrupted sutures may be inserted. This operation is of questionable value,and must never be used if stenosis of the pylorus exists, and stenosis of thepylorus is the most common cause of gastric method of gastroplication is shown in Fig. Fig. 769.—Birchers method of gastroplication. Ransohoffs Omentopexy for Gastroptosis 1243 Qastropexy (Burets Operation for Gastroptosis).—It has been shownby Duret that dyspepsia of a pecuharly severe type may be produced by pro-lapse or downward displacement of the stomach. In this condition he advisedthe following operation: Perform a median laparotomy, but do not incise theperitoneum in the upper portion of the wound. Expose the stomach and fixit by means of a silk suture to the undivided but exposed peritoneum. Thesuture should be parallel to the lesser curvature and near the pylorus should behorizontal.^ Rovsing, too, fixes the stomach to the abdominal wall. So and Eve. The operations of Duret, Rovsing, Hartmann, and Eve,of London, fix and distort the stomach. This seems to me an objectionalprocedure and liable to be followed by pain. To fix an organ which undergoes
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