. American practice of surgery ; a complete system of the science and art of surgery . Ftp n>-In this Diagram a further Step has been made in the Operation for EstabUshmgAnasl^most between the Stomach and the Intestine. The opening in the former organ has beencompleted and that in the jejunum has been begun. beyond the line of suturing, as shown in Fig. 118. The surface is then care-fully sponged, and the abdominal wound closed. It is important, especially in cases in which there is much fat in the mesocolon,to make the scar sufficiently large to prevent subsequent contraction and ob-struct
. American practice of surgery ; a complete system of the science and art of surgery . Ftp n>-In this Diagram a further Step has been made in the Operation for EstabUshmgAnasl^most between the Stomach and the Intestine. The opening in the former organ has beencompleted and that in the jejunum has been begun. beyond the line of suturing, as shown in Fig. 118. The surface is then care-fully sponged, and the abdominal wound closed. It is important, especially in cases in which there is much fat in the mesocolon,to make the scar sufficiently large to prevent subsequent contraction and ob-struction. 350 AMERICAN PRACTICE OF SURGERY. The steps of the operation, as shown in Figs. 111-117, are very simple. Thefirst step consists in placing a continuous row of Lembcrt sutures, as shown inFig. Ill, the stomach and intestine being still intact. The next step consists inmaking in each of these two organs an opening a little shorter than the row ofsutures that has just been applied. (Figs. 112 and 113.) The opening should be. Fig. 113.—In this Diagram the Two Openings are Represented as liaving been completed; andthe first suture, b, wliich passes through all the layers of the intestinal and stomach walls, is shown tobe in place.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
