. Annals of surgery . ai 512 RESECTIOX OF STOMACH FOR ULCER lift the duodenum over to the left hypochondrium. A perfect resultwas obtained. When the ulcer is situated at the posterior wall of the duodenum, or solow that direct anastomosis between stomach and duodenum is not safe,we can either perform a Billroth II or use Haberers •* method of gastro-duodenostomy (a modified Kocher). Since the post-operative course follow-ing a Billroth II is smootherthan that following a gastro-duodenostomy, closure ofboth ends followed by a gas-tro-enterostomy is preferable. Haberers modification•^f the Billr

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. Annals of surgery . ai 512 RESECTIOX OF STOMACH FOR ULCER lift the duodenum over to the left hypochondrium. A perfect resultwas obtained. When the ulcer is situated at the posterior wall of the duodenum, or solow that direct anastomosis between stomach and duodenum is not safe,we can either perform a Billroth II or use Haberers •* method of gastro-duodenostomy (a modified Kocher). Since the post-operative course follow-ing a Billroth II is smootherthan that following a gastro-duodenostomy, closure ofboth ends followed by a gas-tro-enterostomy is preferable. Haberers modification•^f the Billroth I technic is iionstrated in the accom-•i\ ing pictures. The clamp \vn in these pictures was^..:i=tructed by Maier (Inns-bruck). This clamp providesfor approximationof stomach and duodenumduring the process of suture(Fig. i). A similar clampwas constructed by Lane. After proper liberation ofthe area to be resected thetwo clamps are applied(Fig. 2) and the clamp isthen closed (Fig. 3). Theduodenal s

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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885