The Diseases of Children:
The Diseases of Children:
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We try to find the portal of infection as quickly as possible and close it (appendectomy, intestinal resection). The author does not rinse out the abdominal cavity, because he is afraid he might thus interfere with the natural protective action of the peritoneum.
The surgeons are still divided into two camps: those who wash out and those who do not wash out. Our own experience, which has been gained in children, militates against the washing out; we have never yet been able to observe any good ...from the washing out, but rather the opposite.
If any pus is accessible through the incision it is removed and the main collection is drained externally with drainage tubes made of glass or of rubber.
The teaching of Rehn, to close the abdominal cavity except for the drainage tubes, was a great advance in our treatment of peritonitis.
The former open treatment and the packing with large amounts of gauze are now luckily things of the past. By placing the gauze-wicks against the loops of intestine and the mesentery, we frequently caused intestinal and fecal fistulae, either through interference with the nutri- tion to the intestinal wall or through thrombosis or lesion of the mesen- teric blood-vessels.
What to read after The Diseases of Children:?
You can find similar books in the "Read Also" column, or choose other free books by Pfiaundler, Mcinhard, 1872- [from Old Catalog] Ed to read onlineMoreLess
To quickly assess the difficulty of the text, read a short excerpt:
We try to find the portal of infection as quickly as possible and close it (appendectomy, intestinal resection). The author does not rinse out the abdominal cavity, because he is afraid he might thus interfere with the natural protective action of the peritoneum.
The surgeons are still divided into two camps: those who wash out and those who do not wash out. Our own experience, which has been gained in children, militates against the washing out; we have never yet been able to observe any good ...from the washing out, but rather the opposite.
If any pus is accessible through the incision it is removed and the main collection is drained externally with drainage tubes made of glass or of rubber.
The teaching of Rehn, to close the abdominal cavity except for the drainage tubes, was a great advance in our treatment of peritonitis.
The former open treatment and the packing with large amounts of gauze are now luckily things of the past. By placing the gauze-wicks against the loops of intestine and the mesentery, we frequently caused intestinal and fecal fistulae, either through interference with the nutri- tion to the intestinal wall or through thrombosis or lesion of the mesen- teric blood-vessels.
What to read after The Diseases of Children:?
You can find similar books in the "Read Also" column, or choose other free books by Pfiaundler, Mcinhard, 1872- [from Old Catalog] Ed to read onlineMoreLess
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