. Modern surgery, general and operative. FiG. 648.—The problem of the hurizontaUy transfixed foreign body in the point, D, had caught as the bone, A, was being swallowed. The end, E, was forced downto C, by food or by blind attempts at pushing the bone downward. The wall, F, should be pushedlaterally out to J, permitting the forceps to grasp the end, M, of the bone. Traction in thedirection of the dart will disimpact the bone and permit it to rotate. The authors rotationforceps are used as at Fig. 649.—Solution of the mechanical problem of the button or other disk-like object
. Modern surgery, general and operative. FiG. 648.—The problem of the hurizontaUy transfixed foreign body in the point, D, had caught as the bone, A, was being swallowed. The end, E, was forced downto C, by food or by blind attempts at pushing the bone downward. The wall, F, should be pushedlaterally out to J, permitting the forceps to grasp the end, M, of the bone. Traction in thedirection of the dart will disimpact the bone and permit it to rotate. The authors rotationforceps are used as at Fig. 649.—Solution of the mechanical problem of the button or other disk-like object witha sharp point. If withdrawn with a plain forceps applied as at A, the point, B, will rip openthe esophageal wall. If grasped at C, the point, D, will rotate in the direction of F and willtrail harmlessly behind. To permit rotation, the authors rotation forceps are used as at U. mountable obstruction. This is the constriction made in the esophagus by thecontraction of the diaphragmatic musculature. To overcome this, moderatebut continuous pressure in the right place is necessary. The proper place is arosette-like sUt to be found by aiming the tube in the direction of the left an-terior superior spine of the ileum. As soon as the hiatus yields the tube-mouthtraverses the abdominal esophagus (about 3 cm. in length in the adult) soquickly that the tube seems at once to enter the stomach. So deceptive isthis that until demonstrated by the author, esophagoscopists mistook the Chevalier Jacksons Direct
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
