. Operative surgery, for students and practitioners . ses a sloughywound and which, when it cicatrizes, may be larger than opening in the stomach should be one-half inch long, just largeenough to admit a tight-fitting tube. The sling sutures are not with-drawn until after the opening has been made in the stomach. If it isintended to open the stomach immediately, which ought to be avoidedif possible, the union of the stomach to the edges of the abdominalincision must be made more accurate in order to prevent possibleleakage and peritoneal infection. OPERATIONS UPON THE STOMACH. 257


. Operative surgery, for students and practitioners . ses a sloughywound and which, when it cicatrizes, may be larger than opening in the stomach should be one-half inch long, just largeenough to admit a tight-fitting tube. The sling sutures are not with-drawn until after the opening has been made in the stomach. If it isintended to open the stomach immediately, which ought to be avoidedif possible, the union of the stomach to the edges of the abdominalincision must be made more accurate in order to prevent possibleleakage and peritoneal infection. OPERATIONS UPON THE STOMACH. 257 Method of Ssabanajew and Fkanck.—A very satisfactoryoperation. The incision (Fenger) should be placed parallel with theleft free border of the ribs and should be not more than two incheslong, commencing above to the side of the ensiform process. Themiddle of the incision should be opposite the tip of the cartilage ofthe eighth rib. The incision is continued down through the musclesand parietal peritoneum. The margins of the peritoneum are fixed to.


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