North Carolina Medical Journal, 1890, Vol. 25 (Classic Reprint)

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Excerpt from North Carolina Medical Journal, 1890, Vol. 25 I find that the left ovary also shows evidences of change, proba bly of the same character as that found in the right, and I shall therefore remove it in the same way. Having satisfied myself that there is no bleeding, I proceed to the next step, which is an important one, that is the toilet of the abdo men. I pour into the peritoneal cavity water that has been boiled and thoroughly irrigate it. The water is then removed with sponges and a sponge is placed in Douglass' cul de sac, to absorb any ¿uid that may collect there. Two ¿at sponges are placed over the intestines to protect them, and the edges of the incision brought together. The instruments and sponges are now counted in order to be sure that none have been left in the abdomen. We are now ready to insert the stitches. The needle is passed from within outwards, and includes the peritoneum and the edge of the tendon on each side. Having placed all the sutures, their ends are grasped with forceps on each side. The edges of the wound are then separated and the sponges left in the abdomen are removed. The stitches are then tied. The incision is then dressed with gauze containing 50 p. C. Of iodoform. Over this is placed a pad of cotton which has been rendered aseptic by being baked in an oven. This is held in place by broad strips of adhesive plaster, and over all is secured a ¿annel binder. Nothing will be given by the mouth for the first thirty-six or forty-eight hours. This rule is absolute unless there is collapse. Under the latter circumstances whiskey may be given by the mouth. If, during this time, nourishment is thought necessary, it may be given by the rectum in the form of enemata containing milk and beef tea. The reason for not giving food by the mouth is to lessen the tendency to vomiting and to diminish the peristaltic action of the bowels. We wish everything to remain quiescent so that every bleeding point may heal. At the end of a week every alternate suture may be removed, and in a few days the remaining stitches can be taken away. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.