Modern surgery, general and operative . a \dcious circle. Liicke de^ised an operation with the idea of preventing such a complica-tion. In the Liicke operation the direction of peristalsis in the efferentloop is the same as in the stomach CFig. 662). ]McGraw points out thatthe crossing of the loop which is effected is dangerous. The Wolfler-Liickeoperation is shown in Fig. 661. Wolfler also de^-ised the operation pictured inFig. 663. \on Hackers posterior operation is thought by some to be less apt 1092 Diseases and Injuries of the Abdomen than the anterior method to be followed by the vicious


Modern surgery, general and operative . a \dcious circle. Liicke de^ised an operation with the idea of preventing such a complica-tion. In the Liicke operation the direction of peristalsis in the efferentloop is the same as in the stomach CFig. 662). ]McGraw points out thatthe crossing of the loop which is effected is dangerous. The Wolfler-Liickeoperation is shown in Fig. 661. Wolfler also de^-ised the operation pictured inFig. 663. \on Hackers posterior operation is thought by some to be less apt 1092 Diseases and Injuries of the Abdomen than the anterior method to be followed by the vicious circle (Fig. 664).Kocher devised an operation in which a valve is formed, but, as Fowler pointsout, this valve does not prevent filling of the duodenum and imbibition ofthe material by the stomach; and, further, that the valve does not work whenthe parts become cicatricial (see Fig. 668). The combination of gastro-enterostomy with entero-anastomosis does tendto prevent the vicious circle. This operation is shown in Figs. 665 and


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery