Transactions

Cover Transactions
Transactions
American Medical Association. Section On Obstetrics, Gynecology And Abdominal Surgery
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I have seen a number of small and apparently trivial wounds, of the loin and lumbar region particularly, in which either a careful examination or time would show that the missile had penetrated the abdomen. I recall seeing a young officer, being treated for gas poisoning of slight degree in a field hospital, who made very light of a small wound in the left loin; but examination made one suspicious of abdominal penetration, and a few hours later, when he had been transferred to an evacuation hos...pital and operated on, the suspicion became a certainty.
It can truly be said, then, that to lay down definite rules for action in these cases is difficult, and that experience and judgment, and above all a careful exam- ination of each case, are of prime importance.
Many more lives are lost in this field by "not wasting time in trying to make a diagnosis" and operating at once than by wasting the time in study of the case. It is not so much a question of diagnosis as of determin- ing whether or not the abdomen should be opened.


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