. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, Witzel method of infolding the tube. (Richardson.) GASTROSTOMY. 595 cartilages of the left side, and the surface of the stomachis exposed. A cone of the stomach-wall is then graspedwith forceps, pulled out of the wound (Fig. 497), and passedunder a bridge of skin and connective tissue and made toproject from a separate wound made about one an
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, Witzel method of infolding the tube. (Richardson.) GASTROSTOMY. 595 cartilages of the left side, and the surface of the stomachis exposed. A cone of the stomach-wall is then graspedwith forceps, pulled out of the wound (Fig. 497), and passedunder a bridge of skin and connective tissue and made toproject from a separate wound made about one and a halfinches above the original wound (Fig. 498). The wall ofthe stomach is fastened in the original wound by sutures Fig. Witzel method; tube infolded and sutures introduced to close the wound. (Richardson.) and the wound closed, the projecting portion of the stom-ach in the upper wound being secured by sutures. Thestomach may be opened at any time. Witzels Method.—This method of gastrostomy also pre-vents leakage, and is accomplished by making an incisionand exposing the wall of the stomach. A small incisionis made in the wall of the stomach and a rubber tube orcatheter introduced; the portion of the tube in contactwith the stomach external to the wound is then infolded 596 PYLOROPLASTY. by peritoneal approximation, as shown in Fig. 499. Thestomach is then stitched to the abdominal wall and theexternal wound closed (Fig. 500). The tube should notbe removed for a week; feeding may be begun throughthe tube immediately. Contraction of the fistula may beprevented by the occasional introduction of the tube orcatheter. PYLOROPLASTY. This operation is practised in non-malignant stricturesof the pylorus. The
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
