Internal abdominal injuries : being the annual oration delivered before the Medical Society of London / by W.H. Battle.

  • Battle, William Henry, 1855-1936.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Internal abdominal injuries : being the annual oration delivered before the Medical Society of London / by W.H. Battle. 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.

    12/34 (page 12)
    between 7 and 12 hours after the accident. This is practically the same conclusion as that to which Siegel came, and is explained by the fact that the shock is passing off, and peritonitis is still localised, if it has commenced. By operation in cases of ruptured intestine is here understood— abdominal section, a search for the injured gut, and its repair by suturing. In some it may be necessary to excise the contused and lacerated part, and perform an anastomosis. The formation of an artificial anus in the small intestine is to be much deprecated. In about 10 per cent, there is more than one lesion; forgetfulness of this fact may lead to serious trouble. The surgeon had better satisfy himself on this point before he begins to apply sutures. Fig. 1.—The portion of bowel resected In the Orst case successfully treated (Croft). It appears to me that some of the more recently published cases of recovery in this branch of surgery have shown an advance in the after-treatment, founded on the principles which guide us in perforative peritonitis. The patient has been placed in the “ Fowler position,” drainage employed, and saline fluid administered continuously by the rectum. Messrs. 6. H. Edington, W. Sheen, and W. G. Nash recorded successes in 1908, whilst last year Dr. Radcliffe introduced the saline into the caecum after appendic- ostomy at the rate of two gallons in 24 hours. The effect of this is instructive as the patient recovered, “ perspired, passed urine