. The Journal of laboratory and clinical medicine . Fig. 1.—The first part of the duodenum pulled out into the wound and the peritoneum and fasciasutured through the openings made in the mesentery, thus fixing it firmly in position with the bile ductpartially exposed. ,J<?CAA/Y\iT^__^. Fascia over loop of < Fig. 2.—The subcutaneous fascia sutured over the transposed loop of the duodenum. where the common bile duct is located, the duct is exposed, ligated, and openedso that it will drain at its point of emergence from the skin. It is usually agood plan to keep a so
. The Journal of laboratory and clinical medicine . Fig. 1.—The first part of the duodenum pulled out into the wound and the peritoneum and fasciasutured through the openings made in the mesentery, thus fixing it firmly in position with the bile ductpartially exposed. ,J<?CAA/Y\iT^__^. Fascia over loop of < Fig. 2.—The subcutaneous fascia sutured over the transposed loop of the duodenum. where the common bile duct is located, the duct is exposed, ligated, and openedso that it will drain at its point of emergence from the skin. It is usually agood plan to keep a soft rubber catheter in the duct for the first day or twoafter operation. This prevents inflammation following operative trauma fromobstructing the flow of bile. The operative wound usually heals quickly andin a very few days after the second operation observations can be started. We have found this method of making a biliary fistula more successfuland satisfactory than any other. By simply passing a catheter into the openedend of the duct observations can be taken on the secretory activity of theliver, the secretory pressure of the organ, or the movements of the gall have made repeated observations on some of our animals for periods ofsix months or more, during which t
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