Annals of surgery . Fig. 3.—Plica duodeno-jejunalis ; transverse colon and omentum, turned up toshow the plica duodeno-jejunalis. gastric wall, the incision made within the line of the suture,and the other half of the button passed through the incisionand tied into the stomach. The two halves of the button arethen pushed together. For the stomach I always take thelonger female half, because of the thickness of the gastric THE MURPHY BUTTON IN GASTRO-ENTEROSTOMY. 6i wall. I do not believe that the greater weight of one of thehalves influences the direction of the button, when it has be-come loo
Annals of surgery . Fig. 3.—Plica duodeno-jejunalis ; transverse colon and omentum, turned up toshow the plica duodeno-jejunalis. gastric wall, the incision made within the line of the suture,and the other half of the button passed through the incisionand tied into the stomach. The two halves of the button arethen pushed together. For the stomach I always take thelonger female half, because of the thickness of the gastric THE MURPHY BUTTON IN GASTRO-ENTEROSTOMY. 6i wall. I do not believe that the greater weight of one of thehalves influences the direction of the button, when it has be-come loose. As soon as pressed together the two halvesmake an entirety. Only if the circular necrosis shouldprogress unequally instead of being uniform and be finishedon one side of the circumference sooner than on the other, if,. Fig. 4.—Von Hackers operation for posterior gastro-enterostumy. The wound isbluntly made in the mesocolon, is drawn apart, and its edges fastened to theposterior wall of the stomach, before the anastomosis is established. in Other words, the button would be suspended within theanastomosis on a shred of tissue (which also tears ofif at last)between the seventh to tenth day, then perhaps a differencein weight of its upper and lower, of anterior or posterior sidemight have some bearing. The modification lately proposed by Jonnesco,^^ I deementirely superfluous. He cuts into the stomach and intes- 62 WILLY MEYER. tines by a one inch incision, and through this hole introducesand presses the half of the button, which is held by a forcepsagainst the wall from within outward. Down upon the cen-tral canal, thus well marked, he makes a short cross incision,and then presses the stem through the wall. The edges of thiswound are caught by a purse-string suture of silk or tied onthe cylinder of t
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
