. Modern surgery, general and operative. w it sufficiently tight to occlude the lumenwithout strangulating the wall of the gut. The ends are twisted, cut short,rolled into a flat coil, the cut ends being in the coil. (See Geo. Rycrson Fowler,on the Circulus Vitiosus following gastro-enterostomy, Annals of Surgery,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 haveemployed repeatedly. It is easy, rapid,and clean: Make a 4-inch incision i inchto the right of the middle line a
. Modern surgery, general and operative. w it sufficiently tight to occlude the lumenwithout strangulating the wall of the gut. The ends are twisted, cut short,rolled into a flat coil, the cut ends being in the coil. (See Geo. Rycrson Fowler,on the Circulus Vitiosus following gastro-enterostomy, Annals of Surgery,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 haveemployed repeatedly. It is easy, rapid,and clean: Make a 4-inch incision i inchto the right of the middle line and abovethe umbilicus. Open the anterior sheathof the rectus and separate it from thefront of the muscle as far as the middleline. Draw the entire muscle outward,open the posterior portion of the sheath,and then open the belly. Inspect andfeel the entire stomach. Lift the omentumand transverse colon out of the abdomenand make the mesocolon taut by raisingthe stomach and colon with the left a bloodless spot in the arch of the.
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