OESOPHA GO TOM } ' 



99 



into the lumen of the oesophagus and split its wall. The 

 mucous membrane is white and lies in thick longitudinal 

 folds. 



When there is a foreign body in the oesophagus the 

 operation is performed at the point where it is lodged, in 

 the maimer described and the incision should be made only 

 large enough to permit its removal. In diverticuli of the 

 oesophagus an ellipical piece of the mucous membrane 

 which has been overstretched is cut out. The oesophageal 

 wound is closed by a laminated suture, that is, tlie mucous 

 membrane is united by means of an intestinal suture and 

 the muscular wall closed over this. The skin and muscular 

 wound may either be left open or closed with the Bayer 

 suture and bandaged, with a drainage tube in the lower 

 angle. 



