Operative surgery . ie diieiation of [Kistcrior gastro - enterostomy,the time of the opera- Transverse colon and omentum turned up, transverse , . mesocolon slit sutured to stonuieh, and intestine directly tion so much that its united to stt>mach, Von Hackers method, scope has been consid-erably extended and the results much improved. The making of an open-ing through the gastro-colic omentum is not a matter of trilling signifi-cance. Rouxs Method.—Rovx, after turning up over the stomach the greatomentum and the transverse colon, made an opening through the posteriorborder of the transverse
Operative surgery . ie diieiation of [Kistcrior gastro - enterostomy,the time of the opera- Transverse colon and omentum turned up, transverse , . mesocolon slit sutured to stonuieh, and intestine directly tion so much that its united to stt>mach, Von Hackers method, scope has been consid-erably extended and the results much improved. The making of an open-ing through the gastro-colic omentum is not a matter of trilling signifi-cance. Rouxs Method.—Rovx, after turning up over the stomach the greatomentum and the transverse colon, made an opening through the posteriorborder of the transverse mesocolon a little to the left of the median line ofthe vertebral column, thus exposing the stomach near the pyloric end. Thejejunum was then divided several inches from the plica duodeno-jejunalis(Fig. 981), the distal end of the bowel implanted by sewing into the pos-terior surface of the stomach (r), and the proximal end (a) united in thesame manner with the distal at a point below the connection of the latter. (U OPERATIVE SURGERY, with the vstomach (b) (Fig. 981). The employment of the ^Murphy buttonin this instance would no doubt greatly facilitate the operation. T/ie Precautions.—As complete isolation as is possible of the operationfield by aseptic packing and use of rubber dam should be practiced in gastro- Tifflirwrntiinrn-.,
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