A contribution to the study of chronic intestinal stasis / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
1913
Catalogue details

Licence: In copyright

Credit: A contribution to the study of chronic intestinal stasis / by William Seaman Bainbridge. 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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    (7) Extreme cases, with diverticulitis, many bands, and much persistent pain. Exsection of the large bowel is indicated. (8) Various kinds of adhesions of an inflamma- tory and noninflammatory nature. Remove the adhesions and cover over the raw surfaces. Treatment. Preparation for Operation.—Prepa- ration for the radical treatment of chronic intestinal stasis is instituted 48 hours before the time of operation. An ounce or two of castor oil is given eight or ten hours before operation. Three or four enemas are given, Mr. Lane, as a rule, using treacle for the purpose, others preferring the ordinary soap enema. Nothing is administered by mouth except beef tea and brandy and water. Saline hypodermoclysis into the axillae is begun with the anesthetic and con- tinued throughout the operation. One quart to three pints of saline solution under each breast, in prolonged operations, sustains the patient, keeps up the blood pressure, and prevents shock. Sterile glucose or dextrose, one-half ounce to the pint of physiological saline solution may be injected under each breast. Surgical Technique.—For the benefit of those who happen not to be familiar with the technique of the more important operative procedures con- cerned in the correction of intestinal kinks and the eradication of chronic intestinal stasis, the technique of the two operations advocated by Lane is given; (i) Ileocolostomy (Lane’s “shortcircuiting” opera- tion). (2) Colectomy. Anesthesia.—It is particularly important in these cases that perfect muscular relaxation be main- tained throughout, that absolute quiet on the part of the patient be insured, and that postoperative vomiting be avoided. For these reasons, I prefer to operate under the essence of orange-ether se- quence, as” originated and practised so successfully by Gwathmey. As a routine practice, I dilate the