Year book of the Medical Association of the Greater City of New York
Year book of the Medical Association of the Greater City of New York
Medical Association of the Greater City of New York
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Out of 33 patients, 15, or 45.5 per cent., died, while 18, or 54.5 per cent., recovered. ITiis is a startling mortality certainly, and is cause for searching investigation on the part of both physician and surgeon, in order to determine what can be done to lessen this appalling result. By consulting the table of the length of time that the obstruction had existed before the operation, we find that this was given in 19 cases, the average of which was four and a half days. Seven patients were ope...rated upon within three days with a mortality of two, or 28.5 per cent., while 12 were operated upon after four days, with a mortality of eight, or 66.6 per cent. ! The lesson is obvious: early operation is the only salvation for these patients, and the burden of responsibility rests with the gen- eral practitioner, who always sees these patients first. The slightest suspicion of obstruction, which is raised at once by the failure of medical measiu*es, should be the signal for im- mediate consultation with- a surgeon upon whom, then, will rest the responsibility of operating or not.
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