Gastrostomy for traumatic stricture of the esophagus : report of case / by George Ben Johnston.

  • Johnston, George Ben, 1853-1916.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Gastrostomy for traumatic stricture of the esophagus : report of case / by George Ben Johnston. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    .1 twenty-eighth of July with no better success than the first. To save the boy from a torturing death by starvation, it was determined to do a gastrostomy on him. I selected the method of Ssabanajew-Frank, which seemed most suitable in this case. In Dennis’ System of Surgery, pages 275-276, Richardson, of Boston, there describes the operation. “ The Ssabanajew-Frank method was so called because it was done in 1890 by Ssabanajew. of Odessa and by Frank in Vienna in 1892. By this method two incisions are made. Fig. 2.—Ssabanajew-FrauK iiieDliod of Gastrostomy, first stage. (After Richardson, Dennis’ System of Surgery.) The first is along the left costal border. The stomach is drawn out of this incision a sufficient distance and fastened there [Fig. 2]. A second incision is made through the skin an inch or two to the left. The tip of the gastric fold is brought under the skin and fastened into this second incision [Fig. 3]. The fistula is made at this point. Meanwhile the first incision is closed. 'The inventors of this operation have reported each four cases, Myer of New York three. This method is inapplicable in cases of contracted stomach. In- deed, in cases of prolonged starvation the stomach will not infrequently be found so contracaed that it is brought with difficulty to almost any ventral incision.”