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Practical Intestinal Surgery, Vol. 2 (Classic Reprint) - Tapa blanda

Robinson, Fred; B.

 
9781331524083: Practical Intestinal Surgery, Vol. 2 (Classic Reprint)

Sinopsis

Excerpt from Practical Intestinal Surgery, Vol. 2

Luecke of Strasburg, who did eight operations, with seven recoveries. It was an unsafe operation under the old method of time-consuming suturing, but mod ern aggressive surgery, with its plates and rings, can do the whole operation in thirty minutes, making it a safe and reliable procedure. When we consider that 35 per cent. Of all cancers attack the stomach, and of all stomachic cancers, 60 per cent. Attack the pylorus, then the operation rises to supreme importance. It appears reasonable that gastro-enterostomy should be substituted for pylorectomy in cancer of the pylorus, for autopsies demonstrate that one-quarter of pyloric cancers exhibit carcinomatous deposits in the liver. In such cases the dangerous pylorectomy is almost useless, while the safer and more easily performed gastro-enterostomy will relieve indescribable suffer ing to the end of life. Even for non-malignant neo plasms, stenosis, and occlusions of pylorus, gastro enterostomy has all the advantages of pylorectomy in physiological processes, besides less shock and violence to the system, as well as a supremely significant short operation. Time, and plates and rings, are the ele ments of success in intestinal anastomosis. I con sider the plates and rings just as applicable to man as to other Ianimals. The rock and base of gastro enterostomy has already been successfully laid in animal experimentation.

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Reseña del editor

Excerpt from Practical Intestinal Surgery, Vol. 2

Gastro-enterostomy is a term introduced into medicine to imply a communication between the stomach and intestine. It is an operation for the formation of an artificial or bi-mucous fistula between the stomach and some point in the small intestine. The same operation may be extended to some part of the colon. It was first performed by Wölfler of Vienna, in 1881, who began an operation for pylorectomy, and being unable to execute it from local conditions, ended the scene with a gastro-enterostomy. Since that time Billroth, Lauenstein, Senn, Rydygier, Barker, Rockowitz, Stamm, Ranshoff, Page, Monastryski, Czerny, Hahn, Winslow, Postowski, and others, have practiced and advocated the operation. The records of some 105 operations for gastro-enterostomy are extant, but I surmise some of these are repeated reports of the same cases. The object of the operation is to overcome obstruction of the pylorus by directing the fæcal circulation through another channel. Gastro-enterostomy is a rival and a substitute for pylorectomy, and is fast displacing the latter operation.

About the Publisher

Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com

This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

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