Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1451.—Pyloric Exclusion byMeans of Double Ligation and Divisionof the mucous membrane. Fig. 1452.—Pyloric Exclusion byConstriction of Mucous Membranewith Band of Fascia. tudinally. This so frees the mucosa which can be closed transversely bysuture (Fig. 1456). The transplant of fascia is then set in and sewed to theseromuscularis (Fig. 1457), and omentum sewed over Fig. 1453.—Reconstruction of Pylorus after Excision of first graft of fascia
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1451.—Pyloric Exclusion byMeans of Double Ligation and Divisionof the mucous membrane. Fig. 1452.—Pyloric Exclusion byConstriction of Mucous Membranewith Band of Fascia. tudinally. This so frees the mucosa which can be closed transversely bysuture (Fig. 1456). The transplant of fascia is then set in and sewed to theseromuscularis (Fig. 1457), and omentum sewed over Fig. 1453.—Reconstruction of Pylorus after Excision of first graft of fascia to mucous membrane. (Method of Strauss.) It is possible that in the treatment of ulcer of the duodenum this methodmay come to supplant gastroenterostomy. Strauss claims that it takes lessskill, causes less shock, and can be done quicker. 776 SURGICAL TREATMENT The treatment of shock in cases of gastroplasty, pylorectomy, gastrec-tomy, and gastroenterostomy is important. The preliminary treatment ofthese cases has been described (pages 499, 564). If the patient has notbeen able to take sufficient fluids, the body fluids should be increased by theproctoclysis for two days previous to operation. The washing of the stom-
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
