. Operative surgery, for students and practitioners . Fig. 108.—Gastrostomy (Witzel). Theend of the tube is passed through asmall incision into the stomach, thewall of the stomach being raised upupon each side of the tube and suturesintroduced. Fig. 109.—Gastrostomy (Witzel). Thesutures have been tied and the folds of theBtomnch wall united over the tube thusburying it. additional silk sutures should be introduced to secure the accuratecoaptation of the two folds of the stomach wall over the tube, andat the point where the end of the tube enters the stomach the suturesshould be extended a suff


. Operative surgery, for students and practitioners . Fig. 108.—Gastrostomy (Witzel). Theend of the tube is passed through asmall incision into the stomach, thewall of the stomach being raised upupon each side of the tube and suturesintroduced. Fig. 109.—Gastrostomy (Witzel). Thesutures have been tied and the folds of theBtomnch wall united over the tube thusburying it. additional silk sutures should be introduced to secure the accuratecoaptation of the two folds of the stomach wall over the tube, andat the point where the end of the tube enters the stomach the suturesshould be extended a sufficient distance beyond to insure againstleakage from the stomach around the tube. That part of the stom-ach wall underneath which the tube is buried and that immediatelyadjacent to the catheter as it emerges from the canal formed by theplaiting of the wall of the stomach should now be joined with inter-rupted silk sutures to the edges of the parietal peritoneum and trans-versalis fascia upon either side of the abdominal incision; thesesutures sh


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