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Transactions of the College of Physicians of Philadelphia (1899)
Transactions of the College of Physicians of Philadelphia - 1899 Author:College of Physicians of Philadelphia Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: BOWEL-RESECTION ; END-TO-END SUTURE. KRASKE'S OPERATION ; END-TO-SUTURE OF RECTUM. PYLORIC DILATATION WITH SUBSEQUENT GASTROEN- TEROSTOMY AND PYLOR- ... more » OPLASTY. By JOHN B. DEAVER, M.D., CHIEF SURGEON TO THE GERMAN HOSPITAL. [Read January 4, 1899.] I HAVE thought the following cases of sufficient interest to record, particularly as they demonstrate that mechanical appliances are not absolutely necessary to obtain good results in the respective opera- tious. I believe that the simpler the technique of any operation the nearer it approaches the ideal. It will be noted in the histories of the cases that bowel-resection, with end-to-end approximation, was practised in three cases, end-to-end approximation in one case of ruptured bowel, and lateral anastomosis in one; in all of these recovery, with restoration of function, followed. In the case of transverse tear of the first portion of the rectum in the operation for pyosalp'mx, only the Treudelenburg position rendered effective suturing of the bowel-rent possible. A. D., a white female, fifty-eight years old, was admitted to the German Hospital on May 20, 1896, with strangulated femoral hernia. Operation revealed gangrenous bowel, six inches of which were resected, and end-to- end anastomosis effected. Recovery uninterrupted. R. J., a white female, fifty-three years old, was admitted to the German Hospital on March 14, 1898. Two years previously she had been operated upon for an umbilical hernia of nineteen years' standing, and she had since had trouble in the movement of her bowels. Two weeks before admission she was suddenly seized with violent abdominal pain and vomiting. The Coll Phj s l vomiting continued at intervals of about three or four hours. After ten days the vomit was of a fecal character....« less