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Home > History and Archaeology > History > Text-Book of Operative Surgery: (English)
Text-Book of Operative Surgery: (English)

Text-Book of Operative Surgery: (English)

          
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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ...in which the part of the stomach pulled out is sutured to the uppermost part of the wound and so stretched and bent upwards. The method which has given us the most satisfactory results is as follows: --A vertical incision is carried from the costal margin downwards over the middle of the left rectus through the skin and the anterior layer of the rectal sheath. We now pass towards the middle line between the rectus and the anterior layer of its sheath, till we reach the inner border, which is then pulled forcibly outwards according to Hacker and Girard's method. The tough posterior wall of the sheath and the peritoneum are then incised for about 2 ins. Two fingers are introduced into the abdomen and the stomach is pulled out, care being taken not to mistake the transverse colon for it. Care must also be taken not to suture the stomach too close to the pylorus, as the outflow through it would be hindered. A portion of the stomach is drawn out till the greater and lesser curvatures appear, and a sufficient area of the anterior wall, close to the former, is stitched firmly to the abdominal wound, a continuous silk suture passing through the serous and muscular coats of the stomach, and including the peritoneum and fascia of the abdominal wall. A narrow drainage tube (Witzel) is now laid vertically on the anterior surface of the stomach wall, and the latter is stitched over it for half-an-inch by means of a continuous suture, applied in such a way as to include the serosa and a layer of the muscular coat on either side of the tube (Fig. 8G). Just below the suture a small opening is made into the stomach, 3 to 4 ins. of the tubing is passed into it, and the serous coat is stitched over the part of the tube which is left exposed as it passes through the aperture in..


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Product Details
  • ISBN-13: 9781130185317
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 204
  • Series Title: English
  • Weight: 372 gr
  • ISBN-10: 1130185311
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Spine Width: 11 mm
  • Width: 189 mm

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