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Updated: May 9, 2025
In the Field Ambulance or Casualty Clearing Station further measures are employed for the relief of shock, and urgent operations are performed, such as amputation for gangrene, tracheotomy for dyspnœa, or laparotomy for perforated or lacerated intestine.
"Only yesterday," he persisted, "I did a laparotomy on a man who had only one chance in a hundred of pulling through and I I scolded him for fighting off his ether cone, scolded him I tell you!" "Yes, I know," soothed the White Linen Nurse. "But " "But nothing!" growled the Senior Surgeon. "The fear of death? Bah! All my life I've scoffed at it! Die?
More particularly is this the case as to operations which involve opening into the abdomen, the chest, or the cranium. So little risk now attaches to such operations, properly performed, that the opening of the abdominal cavity for the mere purpose of ascertaining the condition of its contents "exploratory laparotomy," as it is called is a matter of constant occurrence.
Last week, in talking with an eminent surgeon in Buffalo, he said, "I have performed over a thousand operations of laparotomy, and my records show that in every instance, excepting in cases of accident, the individual was given to what you call the 'Beecham Habit."
Müller, who ate no less than five portions of it nightly, after his twelve long hours of clinical prodding and hacking. He found it more nourishing, he told me, than pure albumen, and more stimulating to the jaded nerves than laparotomy. But to many Americans, of course, sauerkraut does not appeal.
All agree that, if no surgical operation is performed, both mother and child must die. There are the Cæsarian section, the Porro operation, laparotomy, symphysiotomy, all approved by science and the moral law.
He expresses his belief that childhood and infancy are favorable to laparotomy. Kidd removed a dermoid from a child of two years and eleven months; Hooks performed the same operation on a child of thirty months. Chiene extirpated an ovary from a child of three; Neville duplicated this operation in a child one month younger; and Alcock performed ovariotomy on a child of three.
The ovarian dermoid appears clinically as an abdominal or pelvic tumour provided with a pedicle; if the pedicle becomes twisted, the tumour undergoes strangulation, an event which is attended with urgent symptoms, not unlike those of strangulated hernia. The treatment consists in removing the tumour by laparotomy.
When the stagnant fluid is got rid of by laparotomy, the parts are immediately douched with lymph charged with protective substances, the bactericidal power of which may be many times that of the fluid displaced.
Following immediately on the announcement of Lord Lister's antiseptic surgical dressing which rendered the invasion of the peritoneal cavity comparatively safe, came the laparotomy or celiotomy mania.
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