File:Operative surgery, for students and practitioners (1913) (14779371895).jpg

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Identifier: operativesurgery1913mcgr (find matches)
Title: Operative surgery, for students and practitioners
Year: 1913 (1910s)
Authors: McGrath, John J. (John Joseph), b. 1866
Subjects: Surgery, Operative
Publisher: Philadelphia, Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ures. Complete Gastrectomy.—^Extirpation of the entire stomach.First case by Schlatter, 1897. A healthy heart is essential to thesuccess of this operation. The operating room should be kept warmand the patient dressed in flannel garments to prevent as muchas possible loss of body heat by radiation. The stomach should bewashed out immediately before the operation is commenced, afterthe patient has been angesthetized. The incision is best made in the linea alba, and must be liberal,—from six to seven inches in length,—reaching from the ensiformprocess to the umbilicus or even beyond this point. After the abdomen has been opened the stomach is recognizedand examined, and search made for secondary deposits in the liver,pancreas, and adjoining lymphatic glands. The first step consists in the isolation of the stomach, detach-ing it from the greater and lessor omenta and from its attachmentto the spleen: gastro-splenic omentum. In many cases the stomach OPERATIONS UPON THE STOMACH. 401
Text Appearing After Image:
Fig. 1S5.—Gastrectomy (Mayo). Diseased portion of stomach has been excised.The end of the stump of the stomach has been partly closd by suture. Blades ofthe clamps sheathed with rubber. 402 ABDOMEN AND BACK. can be drawn almost entirely out of the abdomen and under theseconditions the performance of the operation is greatly facilitated.Commencing at the pyloric end of the stomachy the omentaare tied off in sections,—first the lesser and then the greater omen-tum,-—each section including about one and one-half inches of theomentum and being tied double, so that the latter can be dividedbetween the ligatures. In ligating the lesser omentum the liver

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  • bookid:operativesurgery1913mcgr
  • bookyear:1913
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:McGrath__John_J___John_Joseph___b__1866
  • booksubject:Surgery__Operative
  • bookpublisher:Philadelphia__Davis
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:420
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
InfoField
29 July 2014


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