Modern surgery, general and operative . ween the terostomy: The first layer of serous sutureclamps (Moynihan). (Moynihan). Moynihans Method of Gastro-enterostomy 1099 Nov., 1902). This operation positively prevents the entrance of materialfrom the duodenal loop into the stomach and also drains that loop. Moynihans Method.—This plan I have employed repeatedly. It is easy,rapid, and clean: jSIake a 4-inch incision i inch to the right of the middleline and above the umbilicus. Open the anterior sheath of the rectus andseparate it from the front of the muscle as far as the middle Hne. Draw theenti
Modern surgery, general and operative . ween the terostomy: The first layer of serous sutureclamps (Moynihan). (Moynihan). Moynihans Method of Gastro-enterostomy 1099 Nov., 1902). This operation positively prevents the entrance of materialfrom the duodenal loop into the stomach and also drains that loop. Moynihans Method.—This plan I have employed repeatedly. It is easy,rapid, and clean: jSIake a 4-inch incision i inch to the right of the middleline and above the umbilicus. Open the anterior sheath of the rectus andseparate it from the front of the muscle as far as the middle Hne. Draw theentire muscle outward, open the posterior portion of the sheath, and thenopen the belly. Inspect and feel the entire stomach. Lift the omentumand transverse colon out of the abdomen and make the mesocolon taut byraising the stomach and colon with the left hand. Find a bloodless spot inthe arch of the middle colic artery, pick up a bit of the under surface of themesocolon by a pair of hemostatic forceps, lift it from the posterior stomach. Fig. 677.—^lojTiihans method of gastro-en-terostomy: Removal of the ellipse of mucousmembrane (Moj^nihan). Fig. 678.—IMoynihans method of gastro-en-terostomj-; The inner suture continued (Moy-nihan). wall, and open the lesser sac of peritoneum by the scissors. Enlarge theopening by dilatation or tearing until it admits three fingers. Inspect andfeel the posterior stomach wall. Place the stomach in its natural position,mark -^ith the thumb the lowest part of the posterior stomach wall, andagain turn the ^^scus over. From the spot marked by the thimib a fold israised. The fold is oblique and its upper end is to approach the cardia andlesser cur\^ature. A stomach clamp (Fig. 673) ha\ang a rubber tube bent overeach blade is applied obUquely so as to grasp the base of this fold. In apply-ing the clamp the tip should point to the right shoulder and the handle of theouter side of the left hip, and the lowest portion of the stomach is graspedin the
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
