Gynecology And Abdominal Surgery V. 2, 1908 2

Cover Gynecology And Abdominal Surgery V. 2, 1908 2
Gynecology And Abdominal Surgery V. 2, 1908 2
Howard Atwood Kelly
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de Lyon. 1900, iii, 95-100. Lyon med., 1900, xciii, 522.
* Kocher, T.: " Mobilisierung des Duodenum u. Gastro-duodenostomie,'' Centralb. f. Chir.
Leipa. 1903, xxx, 33-44.
376 PYLOROPLASTY.
suture and downward in the same plane, on the gastric and duodenal sutures. This keeps the stomach and duodenal walls elevated and taut, and al- low.s the placinf^ of the subsequent \ j sutures with f^eater facility than if they remained retracted and \ | relaxed. The peritoneal surfaces of the duo{lenum and
...stomach, \ j| aUni^r its greater curvature, are Fig. 597. — Showing Traction Stitches in Pylorus, Stomach, and Duodenum. Posterior Line of Suturb Nearly Co.mplkted.
then sutured together as far posteriorly as possible. For this row the continuous silk suture is best. After the posterior line of sutures has l)een placed and tied, an anterior row of mattress sutures is taken, which are not tied, but left long in the manner indicated in the accompanying drawings of the operation (Figs. 598, 599).


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