Enterorraphy / by E. Stanmore Bishop.

  • Bishop, E. Stanmore (Edward Stanmore), 1848-1912.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Enterorraphy / by E. Stanmore Bishop. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    tage, in those days when the laws governing the application of a suture were not underetood, of keeping the wounded gut always under the eye of the surgeon, there was an uncomfortable period before such adhesions were ready. This danger is illustrated in some experiments by Smith, of Philadelphia, reported by Travers,^ upon a dog, which he treated by John Bell’s method, with a fatal result on the sixth day, and on inspec- tion, post mortem, a considerable quantity of faeces and water was found in the peritoneal cavity. Experiments were also made by Travers upon two dogs ; one of them died in twenty-four hours, the other in four days, both wuth fsecal extravasation into the peritoneal cavity. Moreover, the after results, in the shape of an artificial anus, with its disgusting con- comitants, were so unbearable to the patient, that no one felt that such a state of things could be considered as final, and another step was made. The bowel was now sewn up by long threads, which were fastened out- side, so that the bowel should still be prevented from slipping out of sight. Besides, it was considered imperative that these threads should be carefully removed as soon as the wound in the bowel had healed. As instances of this method may be mentioned those of Le Dran and Larrey.® The next type of suture originally bore the name of sutura quatuor magistrorum, and its essential peculiarity was the use of a cylinder of some kind, upon which the two ends were drawn and upon which they were stitched. Thus, the original substance employed Avas the trachea of some animal; then oiled cardboard, by Bitch, Sabatier, Chopart and Desault®; Benjamin Bell recommended a roll of tallow; Hohenhausen’^ uses a plug of dough; Neuber,*® a tube of decalcified bone; Guy de Chauliac* preferred a piece of dry gut; Watson,® a rod made of isinglass ; Th. Walther,^® a roll of gum resin ; and some time since Treves’^ suggested the use of an ingenious sausage-shaped balloon of gutta percha, which, distended by air whilst in situ, could, the suture being made. ’ Loc. cit., p. 119. • Le Dran. “ Traitd des Operations,” p. 80. Paris, 1742. * “ Nouv. Diet, de Med. et de Chir.,” Vol. XIX., p. 237. “Syst. of Surg.,” Vol. II., p. 134. DeuUcht Med. Woch., Sep. 5, 1883. Central, fur Chir., No. 23, 1884. Dieffenbach. “Oper. Chir.,” 1848, Vol. II., p. 402. Med. Chir. Traru., Vol. LXVI, p. 65.