Experimental Surgery

Cover Experimental Surgery
Experimental Surgery
Nicholas Senn
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After another thorough disin- fection the stump is dropped into the abdominal cavity and the external wound closed. Thorough primary removal of infected tissue is the only safety against subsequent extension of the infection to the peritoneal cavity, and the only guarantee for primary union of the abdominal wound.
In gunshot wounds of the pancreas we have no guiding symp- toms upon which to base even a probable diagnosis. The point of entrance and exit of the ball, and its probable course, are
...the only facts which may point to the pancreas as one of the injured organs.
WOUNDS OF THE PANCREAS. 347 In four of tlie five cases, the projectile penetrated posteriorly in the space between the angle of the left scapula and the angles of the ribs, and passed through the diaphragm and the solar plexus; in one the ball entered anteriorly near the tip of the xiphoid cartilage, and was believed to have passed through the stomach.
It is a notable and somewhat significant fact, that in all cases where life was prolonged for more than twelve days, the pancreas appeared to have undergone but little or no pathological change in the vicinity of the visceral wound.


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