74 



ESOPHAGOTOMY 



the manner described, and the incision should be made only 

 large enough to permit its removal. In diverticuli of the 

 esophagus, an elliptical piece of the mucous membrane 

 which has been overstretched is cut out. The esophageal 

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

 membrane is united by means of an intestinal suture and 

 the muscular wall closed over this. The skin and muscu- 

 lar wound may either be left open or closed with the Bayer 

 suture and bandaged, with a drainage tube in the lower 

 angle. 



FIG. 27 

 Esophagotomy 



c, Common carotid artery ; /, jugular vein ; o, o', esophagus ; s, 

 sympathetic nerve; t, trachea; st, mastoido-humeralis (levator 

 humeri) muscle. 



