RECONSTRUCTION OF THE BILE DUCTS

Abstract

This paper is an outgrowth from one branch of work done for Dr. J. W. D. Maury (Associate in charge of Surgical Laboratory) in his search for the cause of death in high intestinal obstruction. The available literature fails to reveal a method for the construction of an intra-abdominal sinus for biliary drainage. This procedure depends on the use of a rubber tube, at one end of which a rubber sponge, or an ordinary surgical sponge, is securely attached (Fig. 1). The tube should be approximately the size of the common bile duct, and the diameter of the sponge should not be greater than one-half the diameter of the duodenal lumen. The length of the tube depends on the length of the biliary passage to be reconstructed. The operative technic