Operative surgery . Fig. 976.—The operation of gastro-enterostomy. Kochersmethod, a. Valve formed from jejunum, h. Locationof sutures of posterior segment, c. Location of suturesof anterior segment, d. Posterior continuous End of posterior suture left for use as anterior suture. uriOUATlONS ON VISCERA CONNKCTKI) WlIII M. roi. Fig. 977.—Ilu o|Kration of gastro-enterostoiny, Son-iienbergs inetliod. Sutures in place. mnsculo-scrous suture, which is formed by utilization of the ends of the long posterior serous suture before Method.— Puss through and fast
Operative surgery . Fig. 976.—The operation of gastro-enterostomy. Kochersmethod, a. Valve formed from jejunum, h. Locationof sutures of posterior segment, c. Location of suturesof anterior segment, d. Posterior continuous End of posterior suture left for use as anterior suture. uriOUATlONS ON VISCERA CONNKCTKI) WlIII M. roi. Fig. 977.—Ilu o|Kration of gastro-enterostoiny, Son-iienbergs inetliod. Sutures in place. mnsculo-scrous suture, which is formed by utilization of the ends of the long posterior serous suture before Method.— Puss through and fasten to the borders of the incision into the stonuich at sliort intervals numerous long silk sutures; uuike an incision into the long of the small intestine, and sew its borders with an overhand continuous suture of catgut (Fig. 977) ; make another opening into the small in-testine, an inch or so below the former; introduce the ends of the gastric sutures into the j^rimary intestinal opening, carry them out througli the secondary intes-tinal one, and by gentle traction on them bring the borders of the gastric and intestinal openings in contact with each other (Fig. 978); they are united together in this position by silk sutures applied in the usual manner. It should be noted that the method recalls Maunsells (Fig. 809) in one esse
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