Inhaltsangabe
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. 1911. Excerpt: ... THE SURGERY OF THE STOMACH AND INTESTINES In this lecture attention is called to some of the leading indications for surgical interference in a certain class of gastro-intestinal diseases. No attempt will be made to describe minutely each operation and the technique employed, but since the general practitioner often has not the time and opportunity to keep fully informed concerning all the advances in surgery, a brief outline will be given of some of the operative methods usually adopted by the best surgeons. SURGERY OF THE STOMACH Gastric Ulcer--A great many ulcers of the stomach can be cured if they are systematically treated by means of rest, diet, good hygiene, and careful medication. It is a mistake, however, to persevere too long with palliative measures, and surgical aid should always be sought whenever the patient grows gradually worse in spite of treatment, or continues to vomit blood and ingesta. Perforations, chronic indurated ulcers, and perigastric adhesions are conditions that are practically never cured except by an operation. As soon as a probable diagnosis of a perforation is established, the abdomen should be opened and careful search made for the point of rupture. It is generally quickly found, for in the majority of cases it is located on the anterior wall near the lesser curvature and is easily accessible. A perforation on the posterior wall should be approached through an opening in the transverse mesocolon; this opens up the lesser peritoneal cavity and gives free access to the whole posterior surface of the stomach. The method of closing the perforation depends upon the size of the opening and the condition of the surrounding tissue. If it is small, a purse-string suture reenforced by a few interrupted Lambert sutures is all that i...
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