Operative surgery . Fig. 1026.—The operation of resection-choledochorraphv, Doyens method. The hepatic(a) and duodenal (a) end of duct. The remnants (b, b) of disorganized portion of (a)duct. The flaps (c, c) of peritoneal and near-by connective tissues. duct or extensive papillomata of its mucous membrane and extensive ulcer-ative and inflammatory changes of its structure. He suggests the removalof the diseased portion by transverse division and the treatment of thedivided ends by cautery or scraping. The peritonaeum should then be 822 OPERATIVE Fig. 1037.—The operation of resectioj
Operative surgery . Fig. 1026.—The operation of resection-choledochorraphv, Doyens method. The hepatic(a) and duodenal (a) end of duct. The remnants (b, b) of disorganized portion of (a)duct. The flaps (c, c) of peritoneal and near-by connective tissues. duct or extensive papillomata of its mucous membrane and extensive ulcer-ative and inflammatory changes of its structure. He suggests the removalof the diseased portion by transverse division and the treatment of thedivided ends by cautery or scraping. The peritonaeum should then be 822 OPERATIVE Fig. 1037.—The operation of resectioji-choledochorra-phy, Doyens method. The hepatic (a) and duode-nal («) end of tube. The remnants (b, b) of thedisorganized portions of duct. The flaps (c, c) ofperitoneal and near-l)y connective tissues, d. Therubber tube in position. stitclied over the space occupied by the resected part for purposes of repairof the duct and cliolecysteuterostomy performed. Waring jjracticed suc-cessfully on a dog this resourceful plan. Chole-dochectomy, like the im-mediately jirecediiig oi)er-ations, has fortunately buta limited though urgentfield of utility. Resection - choledochor-rJuq)hy (Doyen). — Theflaps forming the pocketwhich contained the cal-culus are utilized for thepurpose of this ojieration(Fig. 1026). The Operation.—Afterbeing assured of the permeability of the duct, a tube of red rubber is in-serted, one half in the hepatic, the other half in the duodenal side (), while the torn ^ ends of the canal areapproximated by a glov-ers suture
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
